Individual
DR. STACY BERNARD SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LAC
Contact information
Practice address
206 E REYNOLDS DR STE G2, RUSTON, LA 71270-2873
(915) 276-2548
(318) 259-4571
Mailing address
898 BROOKS CHAPEL RD, QUITMAN, LA 71268-4670
(915) 276-2548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-5154
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/03/2015
Last updated
02/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us