Ms Stacie Elizabeth Carlson, COUNSELOR is a
Psychologist based in Three Rivers, Michigan. Ms Stacie Elizabeth Carlson is licensed to practice in Michigan (license number 6301012837) and her current practice location is
210 S Main Street, Three Rivers, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 273-5000.
NPI number for Ms Stacie Elizabeth Carlson is 1649379405 and her current mailing address is 210 S Main Street, Three Rivers, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649379405.
Healthcare Provider's Profile
Full Name | Ms Stacie Elizabeth Carlson |
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Gender | Female |
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Speciality | Psychologist |
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Location | 210 S Main Street, Three Rivers, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649379405
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Stacie Elizabeth Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649379405 | NPI | - | NPPES |
1708146 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6401009833 (Michigan) | Primary |
103T00000X | Psychologist | 6301012837 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Stacie Elizabeth Carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Stacie Elizabeth Carlson, COUNSELOR 210 S Main Street, Three Rivers, MI 49093 Ph: (269) 273-5000 | Ms Stacie Elizabeth Carlson, COUNSELOR 210 S Main Street, Three Rivers, MI 49093 Ph: (269) 273-5000 |
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