SCOTT DAVID STARK LLPC NPI 1215405360

NPI Information

NPI: 1215405360
Provider Name: SCOTT DAVID STARK, LLPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
913 W HOLMES RD STE 200
LANSING, MI
ZIP 48910
Phone: (517) 887-0226
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Scott David Stark, LLPC is an addiction (substance use disorder) counselor in Lansing, MI. Scott David Stark, LLPC NPI is 1215405360. 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:

913 W HOLMES RD STE 200
LANSING, MI
ZIP 48910-426
Phone: (517) 887-0226

The NPI 1215405360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 11/7/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6401016867	MICHIGAN	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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