STACIE DAVIS LLC (NPI# 1982178257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982178257 |
| Entity Type | Organization |
| Organization Name | STACIE DAVIS LLC |
| Practice Address |
501 Cedar Rd Ste 2c Chesapeake VA 23322-5527 |
| Practice Telephone | 7575740303 |
| Practice Fax Number | 7575740102 |
| Mailing Telephone | 7575740303 |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2019-01-19 |
| Authorized Official Name | STACIE DAVIS (OWNER/OPERATOR) |
| Authorized Official Telephone | 7575740303 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1790860559 | 05 |
| Other Name | Type Code |
|---|---|
| Chesapeake Counseling Center | Doing Business As Name - Organization |
| Street Address |
501 CEDAR RD STE 2C |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23322-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
| 1598305229 | Deborah Sue Jones | Social Worker | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322-5527 | 2020-01-10 |
| 1780160747 | Jodi Baker-hutchinson LLC | Community/Behavioral Health | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322-5527 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
| 1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
| 1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
| 1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| 1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
| 1376822940 | Alan A Smith | Specialist | 549 Royal Grant Dr, Chesapeake, VA 23322 | 2011-08-12 |
| Find all providers in zip 23322 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352454 | Gratitude Individual & Family Therapy Services | Clinic/Center | 1705 Birch Trail Cir Apt U, Chesapeake, VA 23320-8421 | 2020-10-02 |
| 1922613942 | Artemis Therapeutic Center | Clinic/Center | 1425 Battlefield Blvd N Ste 2182, Chesapeake, VA 23320-9998 | 2020-09-15 |
| 1689207599 | 3 Keys Counseling & Consulting, LLC | Clinic/Center | 3810 Indian River Rd Unit 13074, Chesapeake, VA 23325-1202 | 2020-02-19 |
| 1922584366 | Bhg Xlii, LLC | Clinic/Center | 109 Wimbledon Sq Ste H, Chesapeake, VA 23320-4945 | 2018-07-18 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1558969113 | Landis Services, Pllc | Clinic/Center | 809 Kent Pl, Chesapeake, VA 23320-0768 | 2020-10-15 |
| 1124651930 | I-thrive Therapy and Wellness | Clinic/Center | 820 Greenbrier Cir Ste 32, Chesapeake, VA 23320-2646 | 2020-02-20 |
| 1427618081 | Serenity Psychotherapy, LLC | Clinic/Center | 3210 Churchland Blvd Ste 2, Chesapeake, VA 23321-5253 | 2019-06-17 |
| 1235610254 | Pivot Psychotherapy, LLC | Clinic/Center | 1545 Crossways Blvd Ste 250, Chesapeake, VA 23320-0218 | 2018-08-27 |
| 1851485718 | Behavioral Health Associates Ltc | Clinic/Center | 2010 Old Greenbrier Rd, Suite B, Chesapeake, VA 23320-2619 | 2006-10-03 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23322 |
Please comment or provide details below to improve the information on STACIE DAVIS LLC.
| 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.