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STACY WISE
NPI 1669957007
Counselor - Addiction (Substance Use Disorder) in Oak Bluffs, MA

Active since October 02, 2018
111 EDGARTOWN ROAD, OAK BLUFFS, MA 02557(508) 693-7900 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Wise NPPES

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

STACY WISE (NPI 1669957007) is an individual addiction (substance use disorder) provider in Oak Bluffs, Massachusetts and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1669957007
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY WISE
Location Address111 EDGARTOWN ROADOak Bluffs, MA 02557
Mailing Address111 Edgartown RdVineyard Haven, MA 02568-5699 · (508) 693-7900
Phone(508) 693-7900
Sole ProprietorNo
Enumeration DateOctober 2, 2018
✔ NPI 1669957007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
111 EDGARTOWN ROAD, Oak Bluffs, MA 02557
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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.

BRIAN LEE MORRIS
Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
PATRICIA A. TYRA RN/PC,PMHCNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
SHEILA MCHUGH
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
NEDINE CUNNINGHAM
Student in an Organized Health Care Education/Training Program
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
EMILY MARIE SERGE
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
ANGELICA LYON
Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
ROBERT LEE CROPPER
Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900
KAYLA JOHNSON M.S
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Dukes County (508) 693-7900

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 Wise's NPI number?

The NPI number for Stacy Wise is 1669957007. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Stacy Wise located?

Stacy Wise practices at 111 Edgartown Road, Oak Bluffs, MA 02557. The listed phone number is (508) 693-7900.

What is Stacy Wise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Wise was last updated on October 2, 2018. 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.