Individual provider · Type 1 NPI

Stacy Michelle Bisgrove, LMHC

Mental Health Counselor · Rome, NY

NPI number 1770920522 Active

Practice location

199 W Dominick St
Rome, NY 13440

Fax (315) 337-0675

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005578-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1770920522

Stacy Michelle Bisgrove, LMHC's National Provider Identifier is 1770920522, issued on Jun 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rome, NY. The record was last updated on Jun 3, 2013.