Staci Short

  • 1376931501 NPI Number
  • |
  • Actived: 4 years ago
  • |
According to our database, NPI number for Staci Short is 1376931501 and actived since Monday, December 22 2014. Staci Short is an individual provider specializes in Mental Health, primary practice location is 1769 Boulevard De Province Apt E, Baton Rouge, LA 70816. You can also contact Staci Short via telephone number is (225) 892-4444. Provider NPI information was last updated on 11/30/2016.

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Overview of Staci Short

  • NPI number: 1043870017
  • Provider type: Individual
  • Specialty: Mental Health
  • Gender: Female
  • Active since: 12/22/2014
  • Last updated: 11/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: MFT 1096
  • License State: LA

Provider Mailing Address

  • Address: 1769 Boulevard De Province Apt E
    Baton Rouge, LA 70816
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1769 Boulevard De Province Apt E
    Baton Rouge, LA 70816
  • Phone: 225-892-4444
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: MFT 1096
  • License State: LA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 47-2598992
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Staci Short?
  • A: The npi number for Staci Short is 1376931501.
  • Q: What are Staci Short's specialties?
  • A: Staci Short's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Staci Short?
  • A: The medical license number for Staci Short is MFT 1096 and issued in LA in USA.
  • Q: Where is Staci Short practice location?
  • A: Staci Short is practicing at 1769 Boulevard De Province Apt E, Baton Rouge, LA 70816.
  • Q: How to contact Staci Short?
  • A: You can contact Staci Short via 225-892-4444.