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NPI Code Detail

MEDICARE: STACEY PEREZ LMHC, LPC

MEDICARE: STACEY PEREZ LMHC, 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
1101YM0800XMental Health Counselor37PC01220000NJ
2101YM0800XMental Health Counselor015010NY

General Provider Information

NPI Number : 1811430291
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY PEREZ LMHC, LPC
Provider Business Mailing Address
First Line : 76 SMITH ST
Second Line :
City : HOWELL
State : NJ
Zip : 07731-8529
Country : US
Telephone Number : 732-936-7409
Fax Number :
Provider Business Practice Location Address
First Line : 205 HUDSON ST FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10013-1810
Country : US
Telephone Number : 732-936-7409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2016
Last Update Date : 01/17/2026

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