Stacey Colborn
Individual provider Active NPI Counselor · Newport, NC
NPI 1982862884 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1982862884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 404 Safe HBR
Newport, NC 28570-8087 - Phone
- (724) 970-5567
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
404 Safe HBR
Newport, NC 28570-8087
Mailing address
404 Safe HBR
Newport, NC 28570-8087
Phone (724) 970-5567
Other providers in Newport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.