DR. TONI ALLAYNE BOULWARE STACKHOUSE NPI 1578102174

NPI Information

  • NPI: 1578102174
  • Provider Name: DR. TONI ALLAYNE BOULWARE STACKHOUSE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 304 TECUMSEH WAY
    HAVRE DE GRACE, MD
    ZIP 21078
  • Phone: (443) 226-5495

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NPI Details

DR. Toni Allayne Boulware Stackhouse is a mental health counselor in Havre De Grace, MD. DR. Toni Allayne Boulware Stackhouse NPI is 1578102174. 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:

304 TECUMSEH WAY
HAVRE DE GRACE, MD
ZIP 21078-870
Phone: (443) 226-5495

The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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