MS. STACY L PAUL MA LPC LICAC NPI 1063505014

NPI Information

  • NPI: 1063505014
  • Provider Name: MS. STACY L PAUL, MA, LPC, LICAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 590 S OCOTILLO AVE
    BENSON, AZ
    ZIP 85602
  • Phone: (520) 586-7080

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NPI Details

MS. Stacy L Paul, MA, LPC, LICAC is an addiction (substance use disorder) counselor in Benson, AZ. MS. Stacy L Paul, MA, LPC, LICAC NPI is 1063505014. 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:

590 S OCOTILLO AVE
BENSON, AZ
ZIP 85602-405
Phone: (520) 586-7080
Fax: (520) 586-3163

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LISAC1626ARIZONAYes
2101YP2500XCounselorProfessionalLPC2397ARIZONAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1644999OTHERARIZONAAHCCCS

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: 3/30/2025

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