Stacey Rosas Lcsw PLLC
Social Worker, Clinical in Austin, TX. Organization (NPI-2).
NPI number1962035972
StatusActive
Last updated in NPPESMay 10, 2023
Details
- NPI
- 1962035972
- Entity type
- Organization (NPI-2)
- Legal business name
- Stacey Rosas Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
5224 Moon Shadow DrAustin, TX 78735-6015
Phone 512-587-1107
Mailing address
5224 Moon Shadow DrAustin, TX 78735-6015
Phone 512-587-1107
Authorized official
Stacey Hilts Rosas
Owner
5125871107
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