STACEY LYNN GRAVES (NPI# 1821523580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821523580 |
Entity Type | Individual |
Full Name | STACEY LYNN GRAVES |
Credential | MA, LCPC |
Practice Address |
913 Sw Higgins Ave Ste 202 Missoula MT 59803-1423 |
Mailing Address |
Po Box 7874 Missoula MT 59807-7874 |
Practice Telephone | 4066907753 |
Mailing Telephone | 4066907753 |
Enumeration Date | 2017-05-01 |
Last Update Date | 2020-08-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
BBH-LCPC-LIC-188 | MT | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
126 E Broadway St Ste 11, Missoula, MT 598024566 | 4066907753 | |
2825 Stockyard Rd, Suite A-11, Missoula, MT 598081503 | 4065413670 | 4065415532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578778270 | Stacey Leigh Graves | Dental Hygienist | 229 Peachtree St Ne, Suite 206, Atlanta, GA 30303-1601 | 2007-05-14 |
1649279399 | Stacey K Graves | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-07-15 |
Street Address |
913 SW HIGGINS AVE STE 202 |
City | MISSOULA |
State | MT |
Zip Code | 59803-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
Find all providers in zip 59803 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
1871052134 | Joseph Brent Suchanic | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
1053784371 | Angela Krystal Pell | Counselor | 4210 S Reserve St, Missoula, MT 59803-1035 | 2015-11-09 |
Find all providers in MISSOULA |
Please comment or provide details below to improve the information on STACEY LYNN GRAVES.
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.