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STACEY MATTHEWS OVERSTREET
NPI 1841010915
Counselor - Professional in Jackson, MS

Active since October 14, 2024
1437 OLD SQUARE RD STE 101, JACKSON, MS 39211(601) 977-9353 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Matthews Overstreet NPPES

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

STACEY MATTHEWS OVERSTREET (NPI 1841010915) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (P1214) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1841010915
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY MATTHEWS OVERSTREET
Location Address1437 OLD SQUARE RD STE 101Jackson, MS 39211-5533
Mailing Address580 S Pear Orchard Rd Apt 1708Ridgeland, MS 39157-4219 · (601) 842-0645
Phone(601) 977-9353
Sole ProprietorYes
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1841010915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · P1214
1437 OLD SQUARE RD STE 101, Jackson, MS 39211
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MAE SLAY WRIGHT
Social Worker
1437 OLD SQUARE RD STE 101
JACKSON, MS 39211
Hinds County (601) 977-9353
MR. JOHN ARMISTEAD CONWAY III
Counselor (Addiction (Substance Use Disorder))
1437 OLD SQUARE RD STE 101
JACKSON, MS 39211
Hinds County (601) 977-9353
LAURA E RUTLEDGE LPC
Counselor (Mental Health)
1437 OLD SQUARE RD STE 101
JACKSON, MS 39211
Hinds County (601) 977-9353

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 Overstreet's NPI number?

The NPI number for Stacey Overstreet is 1841010915. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Stacey Overstreet located?

Stacey Overstreet practices at 1437 Old Square Rd Ste 101, Jackson, MS 39211. The listed phone number is (601) 977-9353.

What is Stacey Overstreet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stacey Overstreet was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.