Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE THACKER-MAYHORN
Active Sole ProprietorEarly Intervention Provider Agency · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1982421723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2024 (1.5964442497092 yrs)
- Last Updated
- Sep 23, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1199 CREEKSTONE RDGSOUTH CHARLESTON, WV, 253099476Browse WV providers · Browse ZIP 25309
- Phone
- 3046875119
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| MARLENA R. MULLINS | — | 1174361869 |
| MRS. BETHANY OSBORNE | — | 1376361691 |
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.