Provider Demographics
NPI:1669764569
Name:SCHEICH, STACIE J (LPC, MED)
Entity type:Individual
Prefix:MRS
First Name:STACIE
Middle Name:J
Last Name:SCHEICH
Suffix:
Gender:F
Credentials:LPC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S HOWES ST # B100
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2871
Mailing Address - Country:US
Mailing Address - Phone:970-402-2597
Mailing Address - Fax:
Practice Address - Street 1:420 S HOWES ST # A105
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2871
Practice Address - Country:US
Practice Address - Phone:720-778-0521
Practice Address - Fax:970-533-8300
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional