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

STACEY M BEVILACQUA, LMHC, CASAC, MA

Active

STACEY M BEVILACQUA, LMHC, CASAC, MA is a Mental Health Counselor healthcare provider located in ORCHARD PARK, New York. NPI 1619073756 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ORCHARD PARK, NY

Registration Details

NPI Number
1619073756
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2006 (19.876123221329 yrs)
Last Updated
Mar 22, 2023
Licenses
22894 (NY)
004210-01 (NY)

Practice Information

Address
6099 NEW TAYLOR RD
RIGHT SIDE
ORCHARD PARK, NY, 141272385
Browse NY providers · Browse ZIP 14127
Phone
7168001766
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in ORCHARD PARK, NY

Name Credential NPI
MR. RONALD ZENON PIASECZNY LMHC,CRC,CASAC-T,JD 1942306691
MS. JANET KAY CERRA LMHC 1215036892
MRS. ELIZABETH J POMPEO MA 1992885164
LINDA MUFFOLETTO RNBSN 1184798373
LISA M KAZIAL MA 1992870760
MS. SHANNON MARIE HERR LMHC CASAC 1447393459
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.