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

Mr. Timothy Kyle Stacy, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710540422

Mr. Timothy Kyle Stacy, CDCA is an Addiction (Substance Use Disorder) Counselor in Chillicothe, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

46 E Water St
Chillicothe, OH 45601-2544
Phone: (740) 656-8015
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 169687 (OH)

Record details

NPI number1710540422
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESApril 18, 2019
Mailing address340 Western Ave, Chillicothe, OH 45601-2347

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