Provider Demographics
NPI:1093823106
Name:SCHERER, STACIE SYMES (MS)
Entity Type:Individual
Prefix:MRS
First Name:STACIE
Middle Name:SYMES
Last Name:SCHERER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 MARKET PL SW
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5269
Mailing Address - Country:US
Mailing Address - Phone:256-705-3280
Mailing Address - Fax:256-551-0949
Practice Address - Street 1:2319 MARKET PL SW
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5269
Practice Address - Country:US
Practice Address - Phone:256-705-3280
Practice Address - Fax:256-551-0949
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1289A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health