| Ms Stacy Richards, LCDC | |
|
463142 Sr 200, Yulee, FL 32097-5554 | |
| (903) 758-0596 | |
| (903) 758-0598 |
| Full Name | Ms Stacy Richards |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 463142 Sr 200, Yulee, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568726461 | NPI | - | NPPES |
| 507902 | Other | TX | MAC- NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS |
| 8369 | Other | TX | LCDC TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
| 0101163 | Other | FL | FLORIDA CERTIFICATION BOARD |
| 124373200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8369 (Texas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0101163 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacy Richards, LCDC 463142 Sr 200, Yulee, FL 32097-5554 Ph: (904) 225-8280 | Ms Stacy Richards, LCDC 463142 Sr 200, Yulee, FL 32097-5554 Ph: (903) 758-0596 |
Rosa Elena Haslip, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8832 |
Monique Samantha Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 655, Yulee, FL 32041 Phone: 904-468-7731 |
Kelly Goss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 87003 Professional Way, Yulee, FL 32097 Phone: 904-849-1190 |
Hailey Morgan Dittenbir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 87003 Professional Way, Yulee, FL 32097 Phone: 904-849-1190 |
Mrs. Sarah A Smith, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232 |
Gina Ferens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 |
Joyce Clarice Crews, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232 |