Provider Demographics
NPI:1386223782
Name:STECK, WILLIAM STACEY (LMFTA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:STACEY
Last Name:STECK
Suffix:
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 MOORESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7693
Mailing Address - Country:US
Mailing Address - Phone:704-245-8100
Mailing Address - Fax:
Practice Address - Street 1:146 E MCLELLAND AVE
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2611
Practice Address - Country:US
Practice Address - Phone:704-871-1712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12290A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist