MRS. STACY RENNE EPPS CCDC CCJS CDP AT CAD NPI 1184103525

NPI Information

NPI: 1184103525
Provider Name: MRS. STACY RENNE EPPS, CCDC CCJS CDP AT CAD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10559 S PROSPECT AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 339-5746
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MRS. Stacy Renne Epps, CCDC CCJS CDP AT CAD is an addiction (substance use disorder) counselor in Chicago, IL. MRS. Stacy Renne Epps, CCDC CCJS CDP AT CAD NPI is 1184103525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10559 S PROSPECT AVE
CHICAGO, IL
ZIP 60643-923
Phone: (773) 339-5746
Fax: (773) 238-3278

The enumeration date for this NPI number is 8/7/2018 and was last updated on 8/7/2018.

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		15175	INDIANA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15175	INDIANA	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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