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NPI Code Detail

MEDICARE: MRS. STACEY CULVER LPCC

MEDICARE: MRS. STACEY CULVER LPCC
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
1101YM0800XMental Health Counselor1300547OH
2104100000XSocial Worker1303044OH
3101YP2500XProfessional CounselorE.2102240OH

General Provider Information

NPI Number : 1518362532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACEY CULVER LPCC
Provider Business Mailing Address
First Line : 3970 JEROME CT
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-539-6568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2014
Last Update Date : 05/05/2021

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Directions to “ MRS. STACEY CULVER LPCC” Practice Location

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