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MR. TY WILLIAM DENVER STAFFORD BA
NPI 1194852426
Case Manager/Care Coordinator in Gautier, MS

Active since February 27, 2007
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ty William Denver Stafford Ba NPPES

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

MR. TY WILLIAM DENVER STAFFORD BA (NPI 1194852426) is an individual case manager/care coordinator provider in Gautier, Mississippi and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1194852426
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. TY WILLIAM DENVER STAFFORDCredential: BA
Location Address3407 SHAMROCK CTGautier, MS 39553
Mailing Address3407 Shamrock CtGautier, MS 39553
Phone(228) 497-0690
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194852426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3407 SHAMROCK CT, Gautier, MS 39553
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Other Identifiers 1

Medicaid00018214MS

Other Providers at the Same Location NPPES 20

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

MS. PEGGY LYNN FENDLEY M.ED.
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
SINGING RIVER SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
LANESHA JOSHUA BSW
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
DANA WEEKS
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
HILARY LOUISE PENNELL B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MS. ANGELA DENISE TOUCHET B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
VALENCIA HENDERSON
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690

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 Ty Stafford's NPI number?

The NPI number for Ty Stafford is 1194852426. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Ty Stafford located?

Ty Stafford practices at 3407 Shamrock Ct, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Ty Stafford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ty Stafford was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.