Provider Demographics
NPI:1548621154
Name:RAMSEY, STACY ANNE (LPC, EAS-C)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:ANNE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LPC, EAS-C
Other - Prefix:MRS
Other - First Name:STACY
Other - Middle Name:ANNE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:14679 MIDWAY ROAD STE 200
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001
Mailing Address - Country:US
Mailing Address - Phone:972-234-6634
Mailing Address - Fax:972-234-6648
Practice Address - Street 1:14679 MIDWAY RD. STE 200
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:972-234-6634
Practice Address - Fax:972-324-6648
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75436101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health