person
Mrs. Stacie Lyn Souza, LICSW
Mental Health Counselor in Providence, Rhode Island
NPI 1629188909

Stacie Lyn Souza is a Mental Health Counselor based in West Warwick, RI and is specialized in Mental Health. Stacie Lyn Souza practices in Providence, RI and has the professional credentials of LICSW. The NPI Number for Stacie Lyn Souza is 1629188909 and holds a License No. CSW00735 (Rhode Island).

The current practice location address for Stacie Lyn Souza is 830 Chalkstone Ave, Providence, RI and can be reached out via phone at 401-273-7100.

Location: 830 Chalkstone Ave, Providence, RI, 02893-5593
person
Provider Profile Details
NPI Number
1629188909
Provider Name
Stacie Lyn Souza
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI, 02893-5593
Phone Number
401-273-7100
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
830 Chalkstone Ave
City
State
Zip
02908-4734
Phone Number
401-273-7100
Fax Number
person
Provider Business Mailing Address Details
Address
830 Chalkstone Ave
City
State
Zip
02908-4734
Phone Number
401-273-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CSW00735 (Rhode Island)
Definition
Definition to come...
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