Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Aaron Stanley, LCMHT

Individual provider Mental Health Counselor · NPI 1104401769

Mr. Timothy Aaron Stanley, LCMHT is a Mental Health Counselor in Hazlehurst, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1019 Carroll Dr
Hazlehurst, MS 39083-2036
Phone: (601) 894-2018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104401769
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHT
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

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