Provider Demographics
NPI:1801063490
Name:REMY, STACY A (LMHC)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:A
Last Name:REMY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 TIETON DRIVE
Mailing Address - Street 2:SUITE C CATHOLIC FAMILY AND CHILD SERVICE
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3478
Mailing Address - Country:US
Mailing Address - Phone:509-965-7100
Mailing Address - Fax:509-966-9750
Practice Address - Street 1:303 E D ST STE 5
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2300
Practice Address - Country:US
Practice Address - Phone:509-453-1300
Practice Address - Fax:509-966-9750
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00056210101YM0800X
WALH60220280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2013513Medicaid