Provider Demographics
NPI:1154969186
Name:STACIE SCHERER LLC
Entity type:Organization
Organization Name:STACIE SCHERER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:SYMES
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:256-444-3043
Mailing Address - Street 1:4800 WHITESBURG DR SW STE 30-251
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1698
Mailing Address - Country:US
Mailing Address - Phone:256-444-3043
Mailing Address - Fax:
Practice Address - Street 1:333 WHITESPORT DR SW STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3455
Practice Address - Country:US
Practice Address - Phone:256-444-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STACIE SCHERER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health