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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACI SHORT

Active Sole Proprietor

STACI SHORT is a Professional Counselor healthcare provider located in BATON ROUGE, Louisiana. NPI 1376931501 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BATON ROUGE, LA

Registration Details

NPI Number
1376931501
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2014 (11.652822661783 yrs)
Last Updated
Nov 30, 2016
Licenses
MFT 1096 (LA)
MFT 1096 (LA)
MFT 1096 (LA)
MFT 1096 (LA)
LPC3219 (LA)
Sole Proprietor
Yes

Practice Information

Address
1769 BOULEVARD DE PROVINCE APT E
BATON ROUGE, LA, 708168618
Browse LA providers · Browse ZIP 70816
Phone
2258924444
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
School Counselor
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BATON ROUGE, LA

Name Credential NPI
DAVID EARLE LPC 1295796910
DAVID TYNDALE HALL L.P.C. 1265463186
MRS. JACKIE DENESE POWELL M.ED, LPC-S, LMFT 1194834390
JAN S HEBERT LPC, NCC 1124116850
MS. JIZETTE MONTRISE HALL M.A., LPC, LMFT, NCC 1205996360
KRISTEN BRANTLEY LPC 1902966096
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.