STACY SLOAN SHOUP (CCDC1) – Addiction (Substance Use Disorder) Counselor, NPI 1093865818

STACY SLOAN SHOUP (CCDC1) is a healthcare provider. based in Mansfield, Ohio. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials CCDC1. They hold a License No. 975906 (OH). The NPI Number for STACY SLOAN SHOUP (CCDC1) is 1093865818

Main info

Female
Sole Proprietor
Name
STACY SLOAN SHOUP (CCDC1)
NPI
1093865818
Phone
(419) 589-9780
Address
1329 BELLVIEW DR
Enumeration Date
12 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STACY SLOAN SHOUP (CCDC1)

  • Bellview Drive, Mansfield, Bristol County, Massachusetts, 02048, United States

    MANSFIELD, OH 449051615

    Phone: (419) 589-9780

    Type: Mailing

  • Catalyst Life Services / The Rehab Center, 270, Sterkel Boulevard, South Boulevards, Mansfield, Richland County, Ohio, 44907, United States

    MANSFIELD, OH 449071508

    Phone: (419) 526-6168

    Fax: (419) 526-2753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44905)

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Frequently asked questions

Where can patients find STACY SLOAN SHOUP (CCDC1)'s NPI?
You can confirm STACY SLOAN SHOUP (CCDC1) with NPI 1093865818; it appears in the national provider directory.
Is STACY SLOAN SHOUP (CCDC1) currently active in the NPI registry?
CMS-published data lists STACY SLOAN SHOUP (CCDC1) as an active registrant.
Does STACY SLOAN SHOUP (CCDC1) list a primary specialty?
If you are matching referrals, note Addiction (Substance Use Disorder) Counselor for STACY SLOAN SHOUP (CCDC1). Clinical services aligned with this taxonomy classification.
What location metadata exists for STACY SLOAN SHOUP (CCDC1)?
The page summarizes Mansfield, Ohio for STACY SLOAN SHOUP (CCDC1); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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