STACY M DAVIS, MACC, LPC, Professional SPARTANBURG, SC

Contact Information

STACY M DAVIS, MACC, LPC

250 DEWEY AVE
SPARTANBURG, SC 29303-3009

Phone: 864-585-0366
Fax: 864-583-3136
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Case Manager/Care Coordinator	171M00000X

Indicates primary specialty

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NPI Profile & details for STACY M DAVIS · (Female)

NPI Number	`1366779902`
Status	Active
Credentials	MACC, LPC
Entity	Individual
Enumeration date	11/03/2009
Last updated	07/01/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	SC License # 7475 SC Medicaid 121328
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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