Provider Demographics
NPI:1457897951
Name:STACY, AMY (REGISTERED PSYCHOTHE)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:STACY
Suffix:
Gender:F
Credentials:REGISTERED PSYCHOTHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7853 E ARAPAHOE CT
Mailing Address - Street 2:#3550
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1359
Mailing Address - Country:US
Mailing Address - Phone:888-516-5995
Mailing Address - Fax:
Practice Address - Street 1:7853 E ARAPAHOE CT
Practice Address - Street 2:#3550
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1359
Practice Address - Country:US
Practice Address - Phone:888-516-5995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor