Provider / Organization | NPI | Date Certified |
---|---|---|
STACEY LOPEZ | 1740858539 | 2021-06-16 |
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 LCSW |
Practice Office Address | 409 S OAKLAND ST GASTONIA, NC US |
Practice Office Telephone | 7048749005 |
Mailing Address | 200 E 2ND AVE GASTONIA, NC 280524358 US |
Business Telephone | 7048741900 |
Address | City / State | Phone / Fax |
---|---|---|
112 Devynn Ridge Ct | Mount Holly, NC 281207710 | 7044912473 |
620 Summit Crossing Pl | Gastonia, NC 280542176 | 7048652229 / 7048652811 |
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 | C015887
NC |