Stacy Burlison, LMHC is a
Counselor - Mental Health based in Holt, Florida. Stacy Burlison is licensed to practice in Florida (license number MH20045) and her current practice location is
1495 Thunder Ridge Rd, Holt, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 758-7809.
NPI number for Stacy Burlison is 1588391510 and her current mailing address is 1250 N Ferdon Blvd, Crestview, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588391510.
Healthcare Provider's Profile
Full Name | Stacy Burlison |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 1495 Thunder Ridge Rd, Holt, Florida |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588391510
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 10/30/2023
Medical Identifiers
Medical identifiers for Stacy Burlison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588391510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH20045 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Burlison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Burlison, LMHC 1250 N Ferdon Blvd, Crestview, FL 32536-1751 Ph: (850) 689-7177 | Stacy Burlison, LMHC 1495 Thunder Ridge Rd, Holt, FL 32564-9409 Ph: (850) 758-7809 |
Reviews and Comments