MS. STACY FYE (NPI# 1104000769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104000769 |
| Entity Type | Individual |
| Full Name | MS. STACY FYE |
| Credential | LPC/MHSP |
| Practice Address |
871 Professional Park Dr Clarksville TN 37040-5257 |
| Mailing Address |
275 Cumberland Bnd Nashville TN 37228-1805 |
| Practice Telephone | 8668160433 |
| Mailing Telephone | 6157263340 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
3299 | TN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1407 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MISSISSIPPI STATE BOARD OF EXAMINERS FOR LICENSED PROFESSIONAL C | 1407 | 01 |
| MS | MS DEPT OF MENTAL HEALTH | PH1444 | 01 |
| TN | TN BOARD OF PROF. COUNSELORS AND MARTIAL AND FAMILY THERAPISTS L | 3299 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 Cumberland Bnd, Nashville, TN 372281805 | 6157826207 | 9316482701 |
| Street Address |
871 PROFESSIONAL PARK DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242108 | Karen E. Freeman | Counselor | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2006-08-16 |
| 1316557556 | Rebecca Parks | Social Worker | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2020-08-03 |
| 1104443308 | Abigail Randall | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2020-07-03 |
| 1487296554 | Heather Lynette Baker | Counselor | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2019-10-10 |
| 1023538923 | Candace-tara C Cook | Social Worker | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2017-06-21 |
| 1568853174 | Shea Michelle Wilson | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1780191114 | Sunrise Couseling Services LLC | Counselor | 130 Hillcrest Dr Ste 204, Clarksville, TN 37043-5083 | 2018-01-08 |
| 1437665718 | Sunny E Wells | Counselor | 298 Warfield Blvd Ste B, Clarksville, TN 37043-1828 | 2017-12-21 |
| 1134633241 | Tonia Mechelle Goodrich | Counselor | 1316 Jared Ray Dr, Clarksville, TN 37042-6773 | 2017-11-28 |
| 1295276566 | Teresa Logan Harrison | Counselor | 1854 Memorial Dr, Clarksville, TN 37043-4603 | 2017-03-20 |
| 1720529399 | Kathleen Ferrara Lombardo | Counselor | 13766 Brighton Dam Rd, Clarksville, MD 21029-1334 | 2017-03-16 |
| 1750775367 | Mildred Sue Dukic | Counselor | 512 Madison St, 3, Clarksville, TN 37040-3671 | 2015-03-20 |
| 1326343633 | Bridget M. Williams | Counselor | 775 Weatherly Drive, F, Clarksville, TN 37043 | 2011-01-18 |
| 1609005990 | Vannessa Collier | Counselor | 231 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8858 | 2009-07-08 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on MS. STACY FYE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.