SearchMississippi101YP2500X

Tyler Stacy, LPC

NPI 1376082719 · on the registry since 2017 · sole proprietor

Practice

Address
4500 I 55 N Ste 208
Jackson, MS 39211
Phone
(601) 405-7440
Organisation at this address
Spectacles Inc
Warby Parker Inc.
Tew Counseling Llc
Family Matters First
Mindful Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Additional practice sites

  • 622 Riverside Dr, Monroe, LA

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi