STACIE L LECLERC (NPI# 1467636167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467636167 |
| Entity Type | Individual |
| Full Name | STACIE L LECLERC |
| Practice Address |
3277 White Mountain Highway North Conway NH 03860 |
| Mailing Address |
286 Town Hall Rd Intervale NH 03845-6108 |
| Practice Telephone | 6033566400 |
| Mailing Telephone | 6033566400 |
| Mailing Fax Number | 6034478893 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0960 | NH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
739 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3111019 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Twelfth St, Berlin, NH 035703860 | 6037527404 | 6037525194 |
| Street Address |
3277 WHITE MOUNTAIN HIGHWAY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235355660 | Nicholas Hudson-swogger | Counselor | 64 Kearsarge Road, North Conway, NH 03860 | 2007-04-17 |
| 1245353978 | Christine O'meara Dias | Counselor | 2503 White Mountain Highway, North Conway, NH 03860 | 2007-04-09 |
| 1730743691 | Adam Kenney | Counselor | 2977 White Mountain Hwy, North Conway, NH 03860-5111 | 2019-04-26 |
| 1548718356 | Stephanie J Kenney | Counselor | 2977 White Mountain Hwy, North Conway, NH 03860-5111 | 2016-09-21 |
| 1508151697 | The Youth&child Center for Wellness | Counselor | 170 Kearsarge Rd, North Conway, NH 03860-5331 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271744 | Doris T Kendall | Counselor | 182 Gerrish Rd, Salisbury, NH 03268-5505 | 2020-10-01 |
| 1801401013 | Megan Ann Waring | Counselor | 73 E Broadway Apt Z, Derry, NH 03038-2417 | 2020-09-14 |
| 1861006819 | Karen Crispo | Counselor | 8 Commerce Dr Ste 305, Bedford, NH 03110-6946 | 2020-09-06 |
| 1023620762 | Andrew James Maihos | Counselor | 7 Maple St, Farmington, NH 03835-3714 | 2020-08-22 |
| 1508478595 | Amy Reynelli Counseling Pllc | Counselor | 272 Main St Ste 2, Keene, NH 03431-4122 | 2020-08-20 |
| 1639780786 | Whitestone Counseling of Nh | Counselor | 32 Glasgow Cir, Hudson, NH 03051-3759 | 2020-08-12 |
| 1649888330 | Fleur De Lis Counseling, Coaching, and Consultation LLC | Counselor | 44 Mason Rd, Brookline, NH 03033-2203 | 2020-07-19 |
| 1255959987 | Lindsay H Goldstein | Counselor | 10 Hughey St, Nashua, NH 03064-2531 | 2020-07-09 |
| 1962026252 | Andrea Rose Mitchell | Counselor | 250 Commercial St Ste 2020, Manchester, NH 03101-1118 | 2020-06-02 |
| 1417584434 | Penny Sampson | Counselor | 1465 Hooksett Rd Unit 227, Hooksett, NH 03106-1877 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
Please comment or provide details below to improve the information on STACIE L LECLERC.
| 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.