Stacy Fye is a Mental Health in Clarksville, Tennessee. Stacy Fye practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Stacy Fye is 1104000769. The last update date is 2020-06-02.
Stacy Fye's current location address is 871 Professional Park Dr, Clarksville, Tennessee. You can contact this provider via phone number 8668160433. The mailing address for Stacy Fye is 871 Professional Park Dr, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Fye |
|---|---|
| Address | 871 Professional Park Dr, Clarksville, Tennessee |
| Phone Number | 8668160433 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC/MHSP |
NPI Number Detail
| NPI Number | 1104000769 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2020-06-02 |
Provider Mailing Address Detail
| Address | 871 Professional Park Dr |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370405257 |
| Phone Number | 8668160433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1407 | MS | MISSISSIPPI STATE BOARD OF EXA | |
| 3299 | TN | TN BOARD OF PROF. COUNSELORS A | |
| PH1444 | MS | MS DEPT OF MENTAL HEALTH |
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What is the unique 10-digit identification code issued to Stacy Fye by the Centers for Medicare & Medicaid Services?
The Stacy Fye has been assigned the NPI (National Provider Identifier) 1104000769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stacy Fye is physically located?
The Stacy Fye is situated at the following address: 871 Professional Park Dr, Clarksville, TN 370405257.
What is Stacy Fye's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Fye's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104000769 to Stacy Fye?
The Centers for Medicare & Medicaid Services originally issued the 1104000769 to Stacy Fye on 2007-12-19.
As of what date were the details pertaining to Stacy Fye last refreshed?
The information related to the Stacy Fye, including its address, specialty, and other relevant details, was last updated on 2020-06-02.
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