MEDICARE: STACEY MIAO

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
1	251S00000X	Community/Behavioral Health Agency
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	SUDCC10476	CA

General Provider Information

NPI Number	:	1932300878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY MIAO

Provider Business Mailing Address
First Line	:	750 SPAANS DR STE F
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-8609
Country	:	US
Telephone Number	:	209-744-9909
Fax Number	:	209-744-9910

Provider Business Practice Location Address
First Line	:	750 SPAANS DR STE F
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-8609
Country	:	US
Telephone Number	:	209-744-9909
Fax Number	:	209-744-9910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	10/17/2023

Similar Medicare Providers

1700831906 — ARTHUR WILLIAM KEOWN D.C.
Practice Location Address:

750 SPAANS DR , SUITE A
GALT, CA
95632-8609

Practice Phone: 209-745-6639
Practice Fax:

1891872495 — SHAWN IVAN HAYES D.C.
Practice Location Address:

750 SPAANS DR , SUITE A
GALT, CA
95632-8609

Practice Phone: 209-745-6639
Practice Fax: 209-745-5918

1669598652 — MRS. STEPHANIE JEAN HUIHUI-BARKER CADC II, ICADC
Practice Location Address:

750 SPAANS DR
GALT, CA
95632-8609

Practice Phone: 209-744-9909
Practice Fax: 209-744-9910

1811183643 — DR. MARK FRANCIS TOWNS M.D.
Practice Location Address:

750 SPAANS DR , SUITES F AND C
GALT, CA
95632-8609

Practice Phone: 209-744-9909
Practice Fax: 209-744-9910

1457521205 — RONIKA RANJITA PRAKASH
Practice Location Address:

750 SPAANS DR
GALT, CA
95632-8609

Practice Phone: 916-385-1701
Practice Fax:

1912277492 — TOWNS HEALTH SERVICES, INC.
Practice Location Address:

750 SPAANS DR STE C, D, AND F
GALT, CA
95632-8609

Practice Phone: 209-744-9909
Practice Fax: 209-744-9910

Directions to “ STACEY MIAO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.