| Stacey L. Donahue, Lcsw, Pllc | |
|
5500 Main St Suite 209 Williamsville NY 14221-6755 | |
| (716) 308-2443 | |
| (716) 632-0031 |
| Full Name | Stacey L. Donahue, Lcsw, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5500 Main St, Williamsville, New York |
| Authorized Official Name and Position | Stacey Lynn Donahue (MEMBER) |
| Authorized Official Contact | 7163082443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L. Donahue, Lcsw, Pllc 5500 Main St 209 Williamsville NY 14221-6755 Ph: (716) 308-2443 | Stacey L. Donahue, Lcsw, Pllc 5500 Main St Suite 209 Williamsville NY 14221-6755 Ph: (716) 308-2443 |
| NPI Number | 1114394020 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 9537479274 |
|---|---|
| Medicare Enrollment ID | O20151109000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114394020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 056508 (New York) | Primary |
| Provider Name | Stacey L Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437347374 PECOS PAC ID: 6406080266 Enrollment ID: I20131009001996 |
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