Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY BERNARD SANDERS, PHD, LAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · RUSTON, LA
Registration Details
- NPI Number
- 1053784728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2015 (10.466453252046 yrs)
- Last Updated
- Feb 26, 2024
- License
-
LAC-5154 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 E REYNOLDS DR STE G2RUSTON, LA, 712702873Browse LA providers · Browse ZIP 71270
- Phone
- 9152762548
- Fax
- 3182594571
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Case Manager
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in RUSTON, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELISE HESTER REED | LCSW | 1467540484 |
| MR. WELTON MIGUEL WILEY | LAC, CCS | 1154469559 |
| SHARON L. CHANDLER | LAC,CCGC,CCDP | 1043591910 |
| CHAD FREDERICK | — | 1417362278 |
| HAYLEA EWING | — | 1902276280 |
| TAYLOR PRICE | — | 1508393992 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.