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

Stacey Wyant, LCSW

Individual provider Mental Health Counselor · NPI 1376917161

Stacey Wyant, LCSW is a Mental Health Counselor in Galesburg, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

311 E Main St Ste 420
Galesburg, IL 61401-4855
Phone: (563) 265-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 149.011158 (IL)

Record details

NPI number1376917161
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 17, 2015
Last updated in NPPESApril 5, 2019

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