Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Janelle Callis

Individual provider Mental Health Counselor · NPI 1366911505

Stacey Janelle Callis is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 106957 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 86777 (CA)

Record details

NPI number1366911505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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