Provider Demographics
NPI:1689112559
Name:HEMSLEY, STACY (LCPC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:HEMSLEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 OCEAN GTWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7217
Mailing Address - Country:US
Mailing Address - Phone:410-690-8181
Mailing Address - Fax:410-690-8185
Practice Address - Street 1:8614 OCEAN GTWY
Practice Address - Street 2:SUITE 4
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7217
Practice Address - Country:US
Practice Address - Phone:410-690-8181
Practice Address - Fax:410-690-8185
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional