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NPI Code Detail

MEDICARE: STACEY APPIAH-OPOKU LPC

MEDICARE: STACEY APPIAH-OPOKU LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor75001TX

General Provider Information

NPI Number : 1396376760
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY APPIAH-OPOKU LPC
Provider Business Mailing Address
First Line : 1644 54TH AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1469
Country : US
Telephone Number : 205-239-3315
Fax Number :
Provider Business Practice Location Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 469-275-1548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 10/03/2022

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Directions to “ STACEY APPIAH-OPOKU LPC” Practice Location

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