NPI Registry.org

Stacey Kathleen Bottoms

NPI Registration Record

Provider / OrganizationNPIDate Certified
STACEY KATHLEEN BOTTOMS19721563622021-07-12

Stacey Kathleen Bottoms is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972156362. Registration indicates Stacey Kathleen Bottoms is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Stacey Kathleen Bottoms
Practice Office Address801 EMPIRE ST
FAIRFIELD, CA US
Practice Office Telephone7074255744
Practice Office Fax7074255162
Mailing Address3478 BUSKIRK AVE STE 260
PLEASANT HILL, CA 945234358 US
Business Telephone9259431794
HPT Codes
CodePractice
License No
State
101YM0800X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor: Mental Health

Behavioral Health/Substance Abuse/Psychiatry

Counselor Mental Health
Behavioral Health & Social Service Providers
Counselor
122725
CA
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy | NPI Resources
45 CFR Part 162