| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STACEY LOPEZ | 1740858539 | 2022-07-30 |
Stacey Lopez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740858539. Registration indicates Stacey Lopez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Stacey Lopez LCSWA |
| Practice Office Address | 10130 MALLARD CREEK RD STE 300 CHARLOTTE, NC US |
| Practice Office Telephone | 9804940382 |
| Mailing Address | 10130 MALLARD CREEK RD STE 300 CHARLOTTE, NC 282626001 US |
| Business Telephone | 9804940382 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 112 Devynn Ridge Ct | Mount Holly, NC 281207710 | 7044912473 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | P015714
NC |