Provider Demographics
NPI:1407928476
Name:STEARNS, STACY ROSE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:ROSE
Last Name:STEARNS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:STACY
Other - Middle Name:MICHELE
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2018 ROCK SPRING RD
Mailing Address - Street 2:A-6
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2631
Mailing Address - Country:US
Mailing Address - Phone:410-838-2493
Mailing Address - Fax:410-838-2597
Practice Address - Street 1:2018 ROCK SPRING RD
Practice Address - Street 2:A-6
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2631
Practice Address - Country:US
Practice Address - Phone:410-838-2493
Practice Address - Fax:410-838-2597
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health