Provider Demographics
NPI:1144540485
Name:HALL, STACY E (LPC)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:E
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14358 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:ST. 3
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8845
Mailing Address - Country:US
Mailing Address - Phone:480-231-8455
Mailing Address - Fax:480-947-7579
Practice Address - Street 1:14358 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:ST. 3
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8845
Practice Address - Country:US
Practice Address - Phone:480-231-8455
Practice Address - Fax:480-477-5794
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC13440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional