Stacey Datnow, Lcsw, Inc.

NPI Registration Record

Provider / Organization	NPI	Date Certified
STACEY DATNOW, LCSW, INC.	1568078061	2020-10-22

The organization Stacey Datnow, Lcsw, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1568078061. Registration indicates Stacey Datnow, Lcsw, Inc. is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Adult Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinic/Center Adult Mental Health, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	STACEY DATNOW, LCSW, INC.
Practice Office Address	28348 ROADSIDE DR STE 201 AGOURA HILLS, CA US
Practice Office Telephone	8182763242
Practice Office Fax	8186996053
Mailing Address	28348 ROADSIDE DR STE 201 AGOURA HILLS, CA 913012596 US
Business Telephone	3109900307
Business Fax	8186996053
Authorized Official	STACEY FRAN DATNOW, OWNER/PSYCHOTHE 3109900307

Offices / Locations

Address	City / State	Phone / Fax
441 S Beverly Dr Ste 2	Beverly Hills, CA 902124427	8182763242 / 8186996053

HPT Codes

Code	Practice	License No State
261QM0850X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Adult Mental Health Behavioral Health/Substance Abuse/Psychiatry Clinic/Center Adult Mental Health Ambulatory Health Care Facilities Clinic/Center

OPI Codes

1295836963

OTHER

NPPES

There has been an issue connecting to the database. The bells are ringing and alarms are sounding. Please try again in a few short minues and hopefully the problem will be resolved.SQLSTATE[HY000] [2002] Connection refused