MR. STACY CLARK (NPI# 1861628380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861628380 |
| Entity Type | Individual |
| Full Name | MR. STACY CLARK |
| Credential | M. ED |
| Practice Address |
2156 Seastone Trce Chesapeake VA 23321-3777 |
| Practice Telephone | 7578035261 |
| Mailing Telephone | 7574056015 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912016494 | Stacy Ann Clark | Optometrist | 1601 E Iron Ave, Salina, KS 67401-3237 | 2006-08-29 |
| 1801841606 | Stacy Suzanne Clark | Chiropractor | 6 Ebco Circle, Waynesboro, VA 22980 | 2006-05-23 |
| 1669012647 | Stacy Ann Clark | Counselor | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 | 2020-01-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1295199941 | Stacy Ann Clark | Nurse Practitioner | 3245 Mount Moriah Ave, Suite 10, Owensboro, KY 42303-7834 | 2016-04-08 |
| 1689950479 | Stacy Clark | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-10-25 |
| 1053625764 | Stacy Clark | Psychologist | 25 E Washington St, 1719, Chicago, IL 60602-1708 | 2010-08-05 |
| 1114259637 | Stacy L Clark | Massage Therapist | 6290 W Sample Rd, Coral Springs, FL 33067-3101 | 2010-02-09 |
| 1134375314 | Stacy Clark | Physical Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2008-08-07 |
| 1619145497 | Stacy Clark | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2008-02-14 |
| Street Address |
2156 SEASTONE TRCE |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232280 | Anitra Holloway | Counselor | 2030 Christian Ave, Chesapeake, VA 23324-2332 | 2020-10-12 |
| 1841801289 | Delaina Joy Szafraniec | Counselor | 432 Rose Garden Ln, Chesapeake, VA 23320-6773 | 2020-08-10 |
| 1811527500 | Revitalife Therapy & Counseling LLC | Counselor | 1101 Executive Blvd Ste B, Chesapeake, VA 23320-3634 | 2020-01-22 |
| 1912546391 | Nicole M Hornef | Counselor | 325 Volvo Pkwy Ste B, Chesapeake, VA 23320-4724 | 2020-01-02 |
| 1205473634 | Stephanie Simpson | Counselor | 729 Aguila Dr, Chesapeake, VA 23322-8032 | 2019-12-04 |
| 1942764642 | Sarah Mines | Counselor | 1736 South Park Ct, St 201, Chesapeake, VA 23320-8922 | 2019-01-27 |
| 1669943429 | Latarsha Batiste | Counselor | 2105 Silverberry Dr Apt 103, Chesapeake, VA 23321-3267 | 2018-12-05 |
| 1285102954 | Toni Yvette Rudisill | Counselor | 3210 Churchland Blvd Ste 2, Chesapeake, VA 23321-5253 | 2018-11-11 |
| 1306340609 | David Walter Hunt IIi | Counselor | 3437 Bruin Dr, Chesapeake, VA 23321-4747 | 2018-03-21 |
| 1922451186 | Natasha M Beckum | Counselor | 1204 King Arthur Dr, Chesapeake, VA 23323-2824 | 2016-07-22 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on MR. STACY CLARK.
| 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.