MR. STACY CLARK M. ED
NPI 1861628380
Counselor - Mental Health in Chesapeake, VA
About Mr. Stacy Clark M. Ed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STACY CLARK M. ED (NPI 1861628380) is an individual mental health provider in Chesapeake, Virginia and active in the NPI registry since June 2009.
NPPES Registry Identity
Specialties & Licenses 2
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 1861628380. It was assigned to this individual provider in the NPPES registry on June 10, 2009.
Where is Stacy Clark located?
Stacy Clark practices at 2156 Seastone Trce, Chesapeake, VA 23321. The listed phone number is (757) 803-5261.
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 June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Stacy Clark, M. ED · NPI 1861628380
Mental Health provider in Chesapeake, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2009.
## Identity
- **NPI:** 1861628380 (Entity type: Individual)
- **Enumerated:** June 10, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2156 SEASTONE TRCE, Chesapeake, VA 23321-3777
- **Phone:** (757) 803-5261
## Record status
- **NPPES last updated:** June 10, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1861628380) · Data from the CMS NPPES public registry.