MR. STACY LOVELL SLOCUM I (NPI# 1477096725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477096725 |
| Entity Type | Individual |
| Full Name | MR. STACY LOVELL SLOCUM I |
| Credential | APCC |
| Practice Address |
1027 N Van Ness Ave Fresno CA 93728-3429 |
| Mailing Address |
2733 E Rockingham Ct Fresno CA 93720-5340 |
| Practice Telephone | 5592687613 |
| Mailing Telephone | 5595734863 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 167G00000X | Licensed Psychiatric Technician | PT 34689 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1942 E Niles Ave, Fresno, CA 937202344 | 5593234957 | |
| 10120 Lanes Bridge Dr, Madera, CA 936368890 | 5594315532 | |
| 4974 N Fresno St, 654, Fresno, CA 93726 | 5598266281 | |
| 1415 W Barstow Ave, Fresno, CA 937113018 | 5594389344 | |
| 775 E Spruce Ave, Fresno, CA 937203016 | 5594315073 | |
| 7120 N Marks Ave Ste 110, Fresno, CA 937110268 | 5594395437 | |
| 1853 E Niles Ave, Fresno, CA 937202342 | 5593253892 | |
| 718 E Minarets Ave, Fresno, CA 937203010 | 5594471117 | |
| 4291 N Millbrook Ave, Fresno, CA 937263438 | 5592247967 |
| Street Address |
1027 N VAN NESS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
| 1063062396 | Taniesha Nicole Whitelow | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-09-18 |
| 1881241693 | Martin A Gonzalez | Marriage & Family Therapist | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-08-26 |
| 1386107704 | Michelle Kathy Hill | Marriage & Family Therapist | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-04-11 |
| 1902130487 | Promesa Behavioral Health- Van Ness | Community Based Residential Treatment Facility, Mental Illness | 1027 N Van Ness Ave, Fresno, CA 93728 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
| 1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
| 1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
| 1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
| 1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
| 1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
| 1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| 1548438302 | Corrina Gallardo | Counselor | 539 N Van Ness Ave, Fresno, CA 93728 | 2008-02-14 |
| Find all providers in zip 93728 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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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.