Stacie Dziuk
Counselor (Professional)

Address: 12139 Bowie Ml, San Antonio, TX 78253-5879
Phone: 8303911681

Stacie Dziuk (NPI# 1073120184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073120184
Entity Type Individual
Full Name Stacie Dziuk
Credential LPC
Gender Female
Practice Address 12139 Bowie Ml
San Antonio
TX 78253-5879
Practice Telephone 8303911681
Mailing Address 12139 Bowie Ml
San Antonio
TX 78253-5879
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-09-23
Last Update Date 2020-09-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 75399 TX

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 12139 BOWIE ML
City SAN ANTONIO
State TX
Zip Code 78253-5879

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1104468263 Diane-claire Villarreal Behavior Technician 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 2019-10-10
1194374215 Deren Robert Green Counselor 1401 Dezarae Lot #3, San Antonio, TX 78253 2019-09-11
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1548823263 Bexar County Emergency Services District Number Two Ambulance 7045 Old Talley Rd., San Antonio, TX 78253 2019-04-18
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Competitor

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City SAN ANTONIO
Zip Code 78253

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.