MOLLY STACKHOUSE NPI 1679155030

NPI Information

NPI: 1679155030
Provider Name: MOLLY STACKHOUSE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3614 11TH ST
CHESAPEAKE BEACH, MD
ZIP 20732
Phone: (240) 523-3497
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Molly Stackhouse is a mental health counselor in Chesapeake Beach, MD. Molly Stackhouse NPI is 1679155030. 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:

3614 11TH ST
CHESAPEAKE BEACH, MD
ZIP 20732-130
Phone: (240) 523-3497

The enumeration date for this NPI number is 4/26/2021 and was last updated on 5/11/2023.

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	103T00000X	Psychologist		A0538	MARYLAND	No
2	103TS0200X	Psychologist	School	36187	MARYLAND	No
3	101YM0800X	Counselor	Mental Health	LGP13404	MARYLAND	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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