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STACY ANN CLARK
NPI 1669012647
Counselor - Mental Health in Jackson, MS

Active since January 08, 2020
460 BRIARWOOD DR STE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Ann Clark NPPES

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

STACY ANN CLARK (NPI 1669012647) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1669012647
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY ANN CLARK
Location Address460 BRIARWOOD DR STE 510Jackson, MS 39206-3057
Mailing Address460 Briarwood Dr Ste 510Jackson, MS 39206-3057 · (601) 956-4816 · Fax (601) 956-4817
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
✔ NPI 1669012647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
460 BRIARWOOD DR STE 510, Jackson, MS 39206
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Other Identifiers 1

Medicaid01670076MS

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.

MARSHEA COOPER
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
MARION COUNSELING SERVICES, PLLC
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
DONTRICE TYLER
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
MASHARA S COOK
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
JAMMAYETTE WASHINGTON
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
ERICA JENKINS
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
ERIC KNOX
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
KIERRA NICOLE FALKNER CMHT
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816

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 Clark's NPI number?

The NPI number for Stacy Clark is 1669012647. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Stacy Clark located?

Stacy Clark practices at 460 Briarwood Dr Ste 510, Jackson, MS 39206. The listed phone number is (601) 956-4816.

What is Stacy Clark'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 Clark was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.