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

Mr. Ty William Denver Stafford, BA

Individual provider Case Manager/Care Coordinator · NPI 1194852426

Mr. Ty William Denver Stafford, BA is a Case Manager/Care Coordinator in Gautier, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

3407 Shamrock Ct
Gautier, MS 39553
Phone: (228) 497-0690
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1194852426
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 8, 2007

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