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

Individual provider Counselor · NPI 1508330903

Stacey Katheryn Lundquist, LGPC is a Mental Health Counselor in Bowie, Maryland. Qualified in 2016, 10 years ago. Practices with Safe Harbor Behavioral Care LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

3060 Michellville Rd Ste 106
Bowie, MD 20716
Phone: (410) 893-4600
Fax: (443) 640-4358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LGP8365 (MD)

Record details

NPI number1508330903
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJanuary 18, 2019
Mailing address7316 Bramblebush Ter, Laurel, MD 20707-9514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Safe Harbor Behavioral Care Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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