Active NPIIndividual provider

Stacey Bourbeau, BSW

Counselor, Mental Health in Lowell, Massachusetts

NPI Number1891115366
Practice location
391 Varnum Avenue Lower Level, Lowell, MA 01854
Fax
—
Last updated
April 23, 2014

Stacey Bourbeau is a Counselor, Mental Health based in Lowell, MA. Stacey Bourbeau practices in Lowell, MA and has the professional credentials of BSW. The NPI Number for Stacey Bourbeau is 1891115366. The current practice location address for Stacey Bourbeau is 391 Varnum Avenue Lower Level, Lowell, MA 01854 and can be reached out via phone at 978-322-5095.

Provider Profile Details

NPI Number
1891115366
Provider Name
Stacey Bourbeau
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
391 Varnum Avenue Lower Level, Lowell, MA 01854
Phone Number
978-322-5095
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
-- Stacey Erin Bourbeau (Other Name)
Provider Enumeration Date
April 23, 2014
Last Update Date
April 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Varnum Avenue Lower Level
Lowell, MA 01854
City
Lowell
Zip
01854
Phone Number
978-322-5095
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
391 Varnum Avenue
Lower Level
Lowell, MA 01854
City
Lowell
State
MA
Zip
01854
Phone Number
978-322-5095
Fax Number
978-322-5097

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Bourbeau, BSW?

The NPI number of Stacey Bourbeau, BSW is 1891115366. It was assigned on April 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Stacey Bourbeau, BSW?

Stacey Bourbeau, BSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Stacey Bourbeau, BSW practice?

The practice location is 391 Varnum Avenue Lower Level, Lowell, MA 01854. The office can be reached at 978-322-5095 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891115366 directly on the NPPES registry website.

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