STACEY LONG FAIN (NPI# 1194355495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194355495 |
Entity Type | Individual |
Full Name | STACEY LONG FAIN |
Credential | LPCA |
Practice Address |
523 Rockingham Rd Rockingham NC 28379-3615 |
Mailing Address |
Po Box 1825 Rockingham NC 28380-1825 |
Practice Telephone | 9105629882 |
Mailing Telephone | 9105629882 |
Mailing Fax Number | 9105629955 |
Enumeration Date | 2020-01-25 |
Last Update Date | 2020-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
A15292 | NC | Behavioral Health & Social Service Providers |
Street Address |
523 ROCKINGHAM RD |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-3615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639135924 | Tammie Gainey | Nurse Practitioner | 523 Rockingham Rd, Rockingham, NC 28379 | 2006-04-25 |
1386268266 | Susan Y Mcdonald | Nurse Practitioner | 523 Rockingham Rd, Rockingham, NC 28379-3615 | 2020-06-05 |
1326670670 | Stephen Narigon | Nurse Practitioner | 523 Rockingham Rd, Rockingham, NC 28379-3615 | 2020-02-05 |
1437653359 | Sandhills Behavioral Care, Pllc | Clinic/Center | 523 Rockingham Rd, Rockingham, NC 28379-3615 | 2018-03-23 |
1649700584 | Courtney Pope Blake | Social Worker | 523 Rockingham Rd, Rockingham, NC 28379 | 2017-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013429547 | Leslie Richardson | Counselor | 801 E Broad Ave Ste 12, Rockingham, NC 28379-4382 | 2017-10-24 |
1962925818 | Jeremy Poling | Counselor | 3617 Buttermilk Creek Rd, Rockingham, VA 22802-1022 | 2017-07-24 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1538439153 | Cvl Counseling Services, Pllc | Counselor | 133 N Lawrence St, Rockingham, NC 28379-3602 | 2012-01-12 |
1073639142 | Patricia Monroe Powell | Counselor | 108 Walters Ct, Rockingham, NC 28379-7581 | 2007-03-21 |
1245391036 | Carolina Behavioral Care | Counselor | 109 Medical Cir Ste A, Rockingham, NC 28379-5221 | 2006-12-13 |
1912540097 | Angela Marie Clifton | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2019-10-22 |
1346807377 | Un-bound Counseling Service, Pllc | Counselor | 801 E Broad Ave Ste 12, Rockingham, NC 28379-4382 | 2019-05-24 |
1124488325 | April D'tonya Burch | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2016-03-01 |
Find all providers in ROCKINGHAM |
City | ROCKINGHAM |
Zip Code | 28379 |
Please comment or provide details below to improve the information on STACEY LONG FAIN.
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.