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KIMYUNNA LATRECE STAFFORD
NPI 1104763606
Counselor in Clarksville, TN

Active since May 01, 2026
25 JEFFERSON ST STE T1, CLARKSVILLE, TN 37040(615) 348-5806 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimyunna Latrece Stafford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMYUNNA LATRECE STAFFORD (NPI 1104763606) is an individual counselor in Clarksville, Tennessee and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104763606
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMYUNNA LATRECE STAFFORD
Location Address25 JEFFERSON ST STE T1Clarksville, TN 37040-4901
Mailing Address25 Jefferson St Ste T1Clarksville, TN 37040-4901 · (615) 348-5806
Phone(615) 348-5806
Sole ProprietorYes
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1104763606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
25 JEFFERSON ST STE T1, Clarksville, TN 37040
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS JENSEN
Counselor (Mental Health)
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806
JEANNETTE MULLER MS
Counselor (Mental Health)
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (931) 230-7700
GRACIE AMACHER
Social Worker (Clinical)
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806
TIYA NACHELLE DOUGLAS
Counselor (Mental Health)
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5906
SYDNEY MARSH
Counselor (Professional)
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806
LISBETH MELCHOR
Counselor
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806
MR. JOHN ROBERT MIMMS JR. MS, EDS
Counselor
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (931) 436-7119
ALEXIS MECHELLE JONES
Counselor
25 JEFFERSON ST STE T1
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimyunna Stafford's NPI number?

The NPI number for Kimyunna Stafford is 1104763606. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Kimyunna Stafford located?

Kimyunna Stafford practices at 25 Jefferson St Ste T1, Clarksville, TN 37040. The listed phone number is (615) 348-5806.

What is Kimyunna Stafford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimyunna Stafford was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.