Individual provider · Type 1 NPI

Staci Short

Professional Counselor · La Place, LA

NPI number 1376931501 Active

Practice location

576 Belle Terre Blvd
La Place, LA 70068-1715

Mailing address

1769 Boulevard De Province Apt E
Baton Rouge, LA 70816-8618

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMFT 1096 (LA)
Professional Counselor Primary 101YP2500XLPC3219 (LA)
School Counselor 101YS0200XMFT 1096 (LA)
Mental Health Counselor 101YM0800XMFT 1096 (LA)
Professional Counselor 101YP2500XMFT 1096 (LA)

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About NPI 1376931501

Staci Short's National Provider Identifier is 1376931501, issued on Dec 22, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in La Place, LA. The record was last updated on Jun 15, 2026.