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

Stacey Lynn Tissue, LLBSW

Individual provider Case Manager/Care Coordinator · NPI 1043482854

Stacey Lynn Tissue, LLBSW is a Case Manager/Care Coordinator in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

2875 Henry St
Port Huron, MI 48060-2526
Phone: (810) 987-9700
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 · Licence 6802086138 (MI)

Record details

NPI number1043482854
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 1, 2008
Mailing address4090 Wellman Line Rd, Jeddo, MI 48032-8105

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