STACY VANCE
NPI 1144888710
Counselor - Mental Health in Centralia, IL

Q: What is Stacy Vance's NPI number?

The NPI number for Stacy Vance is 1144888710. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Q: What is Stacy Vance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Vance was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since May 30, 2019

904 E MLK DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy Vance NPPES

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

STACY VANCE (NPI 1144888710) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1144888710

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACY VANCE

Location Address904 E MLK DRIVECentralia, IL 62801

Mailing Address904 E Mlk DriveCentralia, IL 62801 · (618) 533-1391 · Fax (618) 533-0012

Phone(618) 533-1391

Fax(618) 533-0012

Sole ProprietorNo

Enumeration DateMay 30, 2019

✔ NPI 1144888710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

904 E MLK DRIVE, Centralia, IL 62801

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Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 2

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

COMMUNITY RESOURCE CENTER INC.

Community/Behavioral Health

904 E MLK DRIVE
CENTRALIA, IL 62801

Marion County (618) 533-1301

DONNA FINNEY

Counselor

904 E MLK DRIVE
CENTRALIA, IL 62801

Marion County (618) 533-1391

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 Stacy Vance's NPI number?

The NPI number for Stacy Vance is 1144888710. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Stacy Vance located?

Stacy Vance practices at 904 E Mlk Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Stacy Vance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Vance was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.