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

Stacey Teal, LPC

Individual provider Professional Counselor · NPI 1447043302

Stacey Teal, LPC is a Mental Health Counselor in Hiram, Georgia. Qualified in 2022, 4 years ago. Practices with Highland Rivers Community Service Board, a 58-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

126 Enterprise Path Ste 201
Hiram, GA 30141-2654
Phone: (678) 567-0920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC015759 (GA)

Record details

NPI number1447043302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address16 Bridge Brook Ct, Dallas, GA 30157-1242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Highland Rivers Community Service Board — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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