MRS. STACI LYNN MCCULLOUGH (NPI# 1942698675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942698675 |
| Entity Type | Individual |
| Full Name | MRS. STACI LYNN MCCULLOUGH |
| Credential | MS, LBS |
| Practice Address |
1002 Spruce St Pottstown PA 19464-3945 |
| Practice Telephone | 2158012501 |
| Practice Fax Number | 4849499690 |
| Mailing Telephone | 2158012501 |
| Mailing Fax Number | 4849499690 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BH001645 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1002 SPRUCE ST |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451349 | Nicole Porreca | Counselor | 152 E High St, Pottstown, PA 19464-5400 | 2020-09-15 |
| 1831720309 | Therese Marie Keating | Counselor | 11 Robins Nest Ln, Pottstown, PA 19465-8172 | 2020-02-03 |
| 1750922373 | Katlin Ilissa Spencer | Counselor | 298 Diamond St, Pottstown, PA 19464-4206 | 2019-10-04 |
| 1568010957 | Lynn Williams | Counselor | 117 N Hanover St Apt 3, Pottstown, PA 19464-5462 | 2019-08-28 |
| 1194380691 | Chelsea Malnofski | Counselor | 977 E Schuylkill Rd, Pottstown, PA 19465-7000 | 2019-05-09 |
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1346783297 | Robin James | Counselor | 139 Beech St, Pottstown, PA 19464-5403 | 2016-11-27 |
| 1013459023 | Mario Di Nenna | Counselor | 541 E High St, Pottstown, PA 19464-5677 | 2016-11-08 |
| 1669801833 | Marita Gallagher | Counselor | 1420 E Cedarville Rd, Pottstown, PA 19465-7632 | 2013-11-07 |
| 1346507043 | Avery Rose Wasmanski | Counselor | 1610 Medical Dr Ste 310, Pottstown, PA 19464 | 2012-04-19 |
| Find all providers in POTTSTOWN | ||||
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| 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.