STACY MANTEL (NPI# 1457803934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457803934 |
Entity Type | Individual |
Full Name | STACY MANTEL |
Credential | LPC |
Practice Address |
1 Bradley Rd Suite 206 Woodbridge CT 06525-2285 |
Practice Telephone | 2038197316 |
Mailing Telephone | 2038197316 |
Enumeration Date | 2016-10-31 |
Last Update Date | 2016-10-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
46.003038 | CT | Behavioral Health & Social Service Providers |
Street Address |
1 BRADLEY RD SUITE 206 |
City | WOODBRIDGE |
State | CT |
Zip Code | 06525-2285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366441826 | William N Schreiber | Internal Medicine | 1 Bradley Rd, Suite 709, Woodbridge, CT 06525-2285 | 2005-07-18 |
1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
1821462375 | Lorraine Byam | Counselor | 1 Bradley Rd, Suite 404, Woodbridge, CT 06525-2285 | 2015-11-20 |
1982077947 | Nicole Derobertis, Lcsw, LLC | Social Worker | 1 Bradley Rd, Suite 707, Woodbridge, CT 06525-2285 | 2015-11-12 |
1811370125 | Monica A. Starr, Aprn, LLC | Nurse Practitioner | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2015-07-06 |
1568843183 | Claudia-santi Ferrante Fernandes | Counselor | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2015-06-10 |
1174902084 | Connecticut Psychiatric & Wellness Center | Community/Behavioral Health | 1 Bradley Rd, 404, Woodbridge, CT 06525-2285 | 2015-05-26 |
1225443708 | Ashley Donovan | Social Worker | 1 Bradley Rd, 905, Woodbridge, CT 06525-2285 | 2014-06-24 |
1205176856 | Connecticut Orthopaedic Specialists, PC | Neurological Surgery | 1 Bradley Rd, Unit 501-502, Woodbridge, CT 06525-2285 | 2013-02-19 |
1265784607 | Beverley Charmaine Phillips-lewis | Social Worker | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2012-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
Find all providers in zip 06525 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043671 | Holistically You Therapeutic Services, LLC | Counselor | 2227 Old Bridge Rd Unit 221, Woodbridge, VA 22192-3007 | 2020-11-03 |
1184248536 | Sherill Angelee Carpenter | Counselor | 3289 Eagle Ridge Dr, Woodbridge, VA 22191-6520 | 2020-06-02 |
1154943264 | Serenity Wellness, LLC | Counselor | 14105 Cove Landing Dr Apt 303, Woodbridge, VA 22191-2257 | 2020-05-12 |
1346882214 | Regina Angela Stone | Counselor | 4300a Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2019-10-11 |
1891341244 | Sabrina Adkinson | Counselor | 14952 Fig Ct, Woodbridge, VA 22193-6025 | 2019-08-12 |
1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
1659848000 | Elaine Sue Kramer | Counselor | 12751 Marblestone Dr Ste 200, Woodbridge, VA 22192-8337 | 2018-10-24 |
1033685961 | A Fresh Start LLC | Counselor | 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240 | 2018-10-18 |
1194209429 | Penny Kotsianas | Counselor | 503 Lyman Ave, Woodbridge, NJ 07095-2224 | 2018-09-22 |
1518441914 | Anew Hope, LLC | Counselor | 4196 Merchant Plz Ste 433, Woodbridge, VA 22192-5085 | 2018-09-20 |
Find all providers in WOODBRIDGE |
City | WOODBRIDGE |
Zip Code | 06525 |
Please comment or provide details below to improve the information on STACY MANTEL.
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.