Staci Rene' Delaney, LPC
Counselor, Professional in Kingman, AZ. Individual provider (NPI-1).
NPI number1063005247
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1063005247
- Entity type
- Individual (NPI-1)
- Name
- Ms. Staci Rene' Delaney
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-17554 | AZ | Yes |
Other names
- Staci R Trammell (Former Name)
Practice location
2252 Kingman AveKingman, AZ 86401-4838
Phone 928-303-0269
Mailing address
2252 Kingman AveKingman, AZ 86401-4838
Phone 928-303-0269
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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