STACEY NICOLE BRACEY (NPI# 1255852158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255852158 |
| Entity Type | Individual |
| Full Name | STACEY NICOLE BRACEY |
| Credential | PLPC |
| Practice Address |
820 Asbury Dr Mandeville LA 70471 |
| Mailing Address |
820 Asbury Dr Mandeville LA 70471-1842 |
| Practice Telephone | 9856745155 |
| Practice Fax Number | 9856745156 |
| Mailing Telephone | 9856745155 |
| Mailing Fax Number | 9856745156 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Mariners Plaza Dr Ste 603, Mandeville, LA 704486826 | 9854654250 | 8664977848 |
| 60 Louis Prima Dr, Covington, LA 70433 | 9853275427 | |
| 820 Asbury Dr, Mandeville, LA 70471 | 9856745155 | 9856745156 |
| Street Address |
820 ASBURY DR |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929211 | Beacon Behavioral Health Northshore Inc | Clinic/Center | 820 Asbury Dr, Mandeville, LA 70471 | 2005-08-17 |
| 1457968224 | Natalie Dicharry | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-09-25 |
| 1598373953 | Linda Bell | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-07-21 |
| 1568088938 | Christon Crowley | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-06-22 |
| 1972137164 | Sylvia Dunn Mark | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-02-26 |
| 1134762297 | Joyce Hunter | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-10-22 |
| 1336709773 | Marcus M Ocmond | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-06-18 |
| 1992363162 | Eric R Kaftan | Counselor | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-06-03 |
| 1811459613 | Kendra Marshall | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-04-02 |
| 1215499108 | Stephen Gilmore | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386132751 | Michael Louis Morgan Sr. | Counselor | 300 Mariners Plaza Dr Ste 301, Mandeville, LA 70448-6833 | 2018-05-01 |
| 1528574712 | Sarah Ballard | Counselor | 400 Mariners Plaza Dr Ste 408, Mandeville, LA 70448-4798 | 2017-12-26 |
| 1407385917 | William Kenneth Knight Jr. | Counselor | 2140 8th St Ofc 205, Mandeville, LA 70471-1924 | 2017-06-08 |
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1396299152 | Oana Herrington | Counselor | 2063 Dupre St, Mandeville, LA 70448-2311 | 2016-08-10 |
| 1235587841 | Kimberly Treadaway | Counselor | 274 Oakwood Dr, Mandeville, LA 70448-3525 | 2016-05-25 |
| 1871755546 | Kimberly Earles Hinson | Counselor | 2099 Dupre St, Mandeville, LA 70448-2311 | 2008-06-25 |
| 1194986901 | Clarke Devine Mcbee | Counselor | 643 Maple St, Mandeville, LA 70448-4879 | 2008-06-24 |
| 1316132160 | Laurie O Anderson | Counselor | 450 N Causeway Blvd, Suite B, Mandeville, LA 70448-4699 | 2007-09-13 |
| 1982745378 | Mary W Speed | Counselor | 167 Gallier Ct, Mandeville, LA 70448-1954 | 2007-02-09 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on STACEY NICOLE BRACEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.