Mandy Stacks, LPC, ADC

NPI 1821458225 · on the registry since 2016

Practice

Address: 320 Midland Pkwy Ste C
Summerville, SC 29485
Phone: (803) 577-0265
Organisation at this address: Delite Dental
Medsource Medical Dme Llc
Dorchester County Alcohol & Drug Abuse Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YA0400X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-12-13

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 South Carolina