Provider Demographics
NPI:1710335070
Name:GILLESPIE, STORMI NICOLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:STORMI
Middle Name:NICOLE
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:STORMI
Other - Middle Name:NICOLE
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8676 GOODWOOD BLVD SUITE 105
Mailing Address - Street 2:ALTERNATE THERAPEUTIC SOLUTIONS, LLC
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7900
Mailing Address - Country:US
Mailing Address - Phone:225-636-5817
Mailing Address - Fax:866-507-9329
Practice Address - Street 1:8676 GOODWOOD BLVD SUITE 105
Practice Address - Street 2:ALTERNATE THERAPEUTIC SOLUTIONS, LLC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7900
Practice Address - Country:US
Practice Address - Phone:225-636-5817
Practice Address - Fax:866-507-9329
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker