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Stacey Datnow, Lcsw, Inc.
Adult Mental Health Clinic/Center in Agoura Hills, California
NPI 1568078061

Stacey Datnow, Lcsw, Inc. is an Adult Mental Health Clinic/Center based in Agoura Hills, CA and is specialized in Adult Mental Health. Stacey Datnow, Lcsw, Inc. practices in Agoura Hills, CA. The NPI Number for Stacey Datnow, Lcsw, Inc. is 1568078061 and holds a License No. (California).

The current practice location address for Stacey Datnow, Lcsw, Inc. is 28348 Roadside Dr Ste 201, Agoura Hills, CA and can be reached out via phone at 818-276-3242 and via fax at 818-699-6053.

Location: 28348 Roadside Dr Ste 201, Agoura Hills, CA, 91301-2596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568078061
Provider Name
Stacey Datnow, Lcsw, Inc.
Credential
Provider Entity Type
Organization
Address
28348 Roadside Dr Ste 201, Agoura Hills, CA, 91301-2596
Phone Number
818-276-3242
Fax Number
818-699-6053
Provider Enumeration Date
09/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295836963 01 CA NPPES
institution
Provider Business Practice Location Address Details
Address
28348 Roadside Dr Ste 201
City
Agoura Hills
State
California
Zip
91301-2596
Phone Number
818-276-3242
Fax Number
818-699-6053
person
Provider Business Mailing Address Details
Address
28348 Roadside Dr Ste 201
City
Agoura Hills
State
California
Zip
91301-2596
Phone Number
818-276-3242
Fax Number
818-699-6053
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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