National Provider Identifier
Stacey M Bevilacqua, LMHC, CASAC, MA
Stacey M Bevilacqua, LMHC, CASAC, MA is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 800-1766.
Profile Overview
- NPI
- 1619073756
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 16, 2006
- Last Updated
- March 22, 2023
Practice Location
- 6099 New Taylor RD
- Right Side
- Orchard Park, NY 14127-2385
Phone: (716) 800-1766
Mailing Address
- 6099 New Taylor RD
- Right Side
- Orchard Park, NY 14127
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1619073756
- Entity Type
- Individual
- Last Name
- Bevilacqua
- First Name
- Stacey
- Middle Name
- M
- Credential
- LMHC, CASAC, MA
- Provider Other Last Name
- Hassett
- Provider Other First Name
- Stacey
- Provider Other Middle Name
- M
- Provider Other Credential Text
- LMHC, CASAC, MA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 6099 New Taylor RD
- Mailing Address Line 2
- Right Side
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 316-4990
- Practice Street Address
- 6099 New Taylor RD
- Practice Address Line 2
- Right Side
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2385
- Practice Country
- US
- Practice Phone
- (716) 800-1766
- Enumeration Date
- September 16, 2006
- Last Updated
- March 22, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)