Most Relevant Information
Provider Data
| NPI Number: | 1003044223 |
| Provider Name: | MONISHA STACEY AT |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2009 |
| Last Updated: | 06/25/2009 |
Provider Practice Location
1008 PINE ST
ARKADELPHIA
AR
719234919
Practice Location Phone/Fax
| Phone: | 8702308364 |
| Fax: | 8702308381 |
Provider Mailing Location
5537 BLEAUX AVE
SPRINGDALE
AR
727620737
Provider Mailing Phone/Fax
| Phone: | 4798725580 |
| Fax: | 4798725581 |