DR. STACY BERNARD SANDERS PHD LAC NPI 1053784728

NPI Information

NPI: 1053784728
Provider Name: DR. STACY BERNARD SANDERS, PHD, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
206 E REYNOLDS DR STE G2
RUSTON, LA
ZIP 71270
Phone: (915) 276-2548
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DR. Stacy Bernard Sanders, PHD, LAC is an addiction (substance use disorder) counselor in Ruston, LA. DR. Stacy Bernard Sanders, PHD, LAC NPI is 1053784728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

206 E REYNOLDS DR STE G2
RUSTON, LA
ZIP 71270-873
Phone: (915) 276-2548
Fax: (318) 259-4571

The enumeration date for this NPI number is 11/3/2015 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health			No
4	171M00000X	Case Manager/Care Coordinator				No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LAC-5154	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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