Provider Demographics
NPI:1669654422
Name:HARRAH, STACI (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:STACI
Middle Name:
Last Name:HARRAH
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EMERSON AVE
Mailing Address - Street 2:EMERSON PROFESSIONAL BUILDING
Mailing Address - City:ASPINWALL
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3252
Mailing Address - Country:US
Mailing Address - Phone:412-443-6220
Mailing Address - Fax:
Practice Address - Street 1:101 EMERSON AVE
Practice Address - Street 2:EMERSON PROFESSIONAL BUILDING
Practice Address - City:ASPINWALL
Practice Address - State:PA
Practice Address - Zip Code:15215-3252
Practice Address - Country:US
Practice Address - Phone:412-443-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001777101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist