Stacie Davis LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STACIE DAVIS LLC

Practice address

501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527

Phone

(757) 574-0303

Fax

(757) 574-0102

NPI assigned

Jan 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacie Davis, LPC

Title

Owner/Operator

Phone

(757) 574-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chesapeake Counseling Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547856000000",
    "number": "1982178257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CEDAR RD STE 2C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225527",
            "telephone_number": "757-574-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CEDAR RD STE 2C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225527",
            "telephone_number": "757-574-0303",
            "fax_number": "757-574-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE DAVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "757-574-0303",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790860559",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Garrett Spruill, D.D.S.
• Delphia Spruill, CSAC
• Nicole Spruill, ATC
• Harry Wooten Squire, DDS
• St Rapheal Healthcare LLC
• Patricia Staehr, M.D.
• Risha E Stafford, CCC-SLP
• Stages of Care, LLC
• Jesika Lee Staggs, RN
• Kendall Staggs, MS CF-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.