person
Stacey M Bevilacqua, LMHC,CASAC,MA
Mental Health Counselor in Orchard Park, New York
NPI 1619073756

Stacey M Bevilacqua is a Mental Health Counselor based in Orchard Park, NY and is specialized in Mental Health. Stacey M Bevilacqua practices in Orchard Park, NY and has the professional credentials of LMHC,CASAC,MA. The NPI Number for Stacey M Bevilacqua is 1619073756 and holds a License No. 22894 (New York).

The current practice location address for Stacey M Bevilacqua is 6099 New Taylor Rd, Orchard Park, NY and can be reached out via phone at 716-800-1766.

Location: 6099 New Taylor Rd, Orchard Park, NY, 14127
person
Provider Profile Details
NPI Number
1619073756
Provider Name
Stacey M Bevilacqua
Credential
LMHC,CASAC,MA
Provider Entity Type
Individual
Gender
Female
Address
6099 New Taylor Rd, Orchard Park, NY, 14127
Phone Number
716-800-1766
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6099 New Taylor Rd
City
State
Zip
14127-2385
Phone Number
716-800-1766
Fax Number
person
Provider Business Mailing Address Details
Address
6099 New Taylor Rd
City
State
Zip
14127-2385
Phone Number
716-800-1766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
004210-01 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22894 (New York)
Definition
Definition to come...
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