Individual provider · Type 1 NPI

Stacey Serrell Fallon, LCSW

Mental Health Counselor · Leland, NC

NPI number 1659120913 Active

Practice location

1110 Walbury Ct
Leland, NC 28451-4169

Call (703) 220-2489 Map

Fax (703) 220-2489

Mailing address

6688 Stonebrook Dr
Clifton, VA 20124-2538

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0904013359 (VA)
Clinical Social Worker 1041C0700XC017292 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1659120913

Stacey Serrell Fallon, LCSW's National Provider Identifier is 1659120913, issued on May 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leland, NC. The record was last updated on Mar 9, 2026.