STACEY PERKO MSW LCSW SUDC NPI 1679034516

NPI Information

NPI: 1679034516
Provider Name: STACEY PERKO, MSW, LCSW, SUDC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3507 N UNIVERSITY AVE STE 350
PROVO, UT
ZIP 84604
Phone: (801) 842-8062
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Stacey Perko, MSW, LCSW, SUDC is a mental health counselor in Provo, UT. Stacey Perko, MSW, LCSW, SUDC NPI is 1679034516. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3507 N UNIVERSITY AVE STE 350
PROVO, UT
ZIP 84604-602
Phone: (801) 842-8062

The enumeration date for this NPI number is 3/25/2019 and was last updated on 5/1/2020.

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)	6086382-6005	UTAH	No
2	101YM0800X	Counselor	Mental Health	6086382-3501	UTAH	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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