| Dr. Stacey Hellow | |
|
819 Sw Federal Hwy Ste 200b Stuart FL 34994-2952 | |
| (772) 529-0372 | |
| Not Available |
| Full Name | Dr. Stacey Hellow |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 Sw Federal Hwy Ste 200b, Stuart, Florida |
| Authorized Official Name and Position | Stacey Hellow (CEO) |
| Authorized Official Contact | 7725290372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stacey Hellow 3086 Sw Feroe Ave Palm City FL 34990-2912 Ph: (772) 529-0372 | Dr. Stacey Hellow 819 Sw Federal Hwy Ste 200b Stuart FL 34994-2952 Ph: (772) 529-0372 |
| NPI Number | 1851882757 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 05/25/2018 |
| Medicare PECOS PAC ID | 3870832207 |
|---|---|
| Medicare Enrollment ID | O20190301002478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851882757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW10356 (Florida) | Primary |
| Provider Name | Stacey Hellow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891299780 PECOS PAC ID: 4587904701 Enrollment ID: I20190325002540 |
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