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STACY MARTIN LPC LAC CACI NPI 1407239585


NPI Information

NPI: 1407239585
Provider Name: STACY MARTIN, LPC, LAC, CACI
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3E CLEVELAND CT
GREENVILLE, SC
ZIP 29607
Phone: (864) 479-4226
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Stacy Martin, LPC, LAC, CACI is a professional counselor in Greenville, SC. Stacy Martin, LPC, LAC, CACI NPI is 1407239585. 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:

3E CLEVELAND CT
GREENVILLE, SC
ZIP 29607-414
Phone: (864) 479-4226

The enumeration date for this NPI number is 7/7/2015 and was last updated on 4/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)454SOUTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)1802226SOUTH CAROLINANo
3101YP2500XCounselorProfessional6779SOUTH CAROLINAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.