Provider Demographics
NPI:1063246932
Name:ARNOLD, STACY ANNE (MA)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:ANNE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:NEWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1849 SOUTHERNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46231-5212
Mailing Address - Country:US
Mailing Address - Phone:219-713-3129
Mailing Address - Fax:
Practice Address - Street 1:8530 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1927
Practice Address - Country:US
Practice Address - Phone:317-472-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health