Provider Demographics
NPI:1639697642
Name:STIGMA INC.
Entity Type:Organization
Organization Name:STIGMA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:864-660-9474
Mailing Address - Street 1:815 EAST BUTLER RD
Mailing Address - Street 2:UNIT 228
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5870
Mailing Address - Country:US
Mailing Address - Phone:864-660-9474
Mailing Address - Fax:866-441-8077
Practice Address - Street 1:815 E BUTLER RD APT 228
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5870
Practice Address - Country:US
Practice Address - Phone:864-660-9474
Practice Address - Fax:866-441-8077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency