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STACEY WYANT LCSW
NPI 1376917161
Counselor - Mental Health in Galesburg, IL

Active since November 17, 2015
311 E MAIN ST, SUITE 420, GALESBURG, IL 61401(563) 265-5202 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2019, Nov 17, 2015 (2 updates tracked since 2015).

About Stacey Wyant Lcsw NPPES

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

STACEY WYANT LCSW (NPI 1376917161) is an individual mental health provider in Galesburg, Illinois, licensed in Illinois (149.011158) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1376917161
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY WYANTCredential: LCSW
Location Address311 E MAIN ST, SUITE 420Galesburg, IL 61401-4855
Mailing Address311 E Main St Ste 205Galesburg, IL 61401-4878 · (309) 297-4911 · Fax (309) 265-0336
Phone(563) 265-5202
Sole ProprietorNo
Enumeration DateNovember 17, 2015
Last NPPES UpdateApril 5, 20192 updates tracked since enumeration
✔ NPI 1376917161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 149.011158
311 E MAIN ST, Galesburg, IL 61401
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Other Names 1

Former Name (1)Stacey Miller

Other Providers at the Same Location NPPES 10

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

SRC, LP
Home Health
311 E MAIN ST, SUITE 202
GALESBURG, IL 61401
Knox County (309) 228-4222
DR. HERSHEL W STATHAM PH.D
Psychologist (Clinical)
311 E MAIN ST, SUITE 414
GALESBURG, IL 61401
Knox County (309) 343-8315
RACHEL MARIE JOHNSON LCPC
Counselor (Professional)
311 E MAIN ST, ST. 205
GALESBURG, IL 61401
Knox County (224) 532-1336
THE CONSULTANT
Clinic/Center (Rehabilitation, Substance Use Disorder)
311 E MAIN ST
GALESBURG, IL 61401
Knox County (309) 371-4777
CYNTHIA SIEVER IBCLC
Lactation Consultant, Non-RN
311 E MAIN ST, SUITE 416
GALESBURG, IL 61401
Knox County (309) 335-2631
THE CONSULTANT
Clinic/Center (Rehabilitation, Substance Use Disorder)
311 E MAIN ST, SUITE 317
GALESBURG, IL 61401
Knox County (309) 371-5777
APRIL M BROBSTON LPC
Counselor (Mental Health)
311 E MAIN ST, SUITE 205
GALESBURG, IL 61401
Knox County (309) 351-5255
FAMILY PLANNING SERVICE OF WESTERN IL, INC.
Nursing Care
311 E MAIN ST, SUITE 409
GALESBURG, IL 61401
Knox County (309) 343-6162

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 Stacey Wyant's NPI number?

The NPI number for Stacey Wyant is 1376917161. It was assigned to this individual provider in the NPPES registry on November 17, 2015. The provider is also known as Stacey Miller.

Where is Stacey Wyant located?

Stacey Wyant practices at 311 E Main St Suite 420, Galesburg, IL 61401. The listed phone number is (563) 265-5202.

What is Stacey Wyant'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 Stacey Wyant was last updated on April 5, 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.