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

Stacy Melissa Ishack

Individual provider Mental Health Counselor · NPI 1124786546

Stacy Melissa Ishack is a Mental Health Counselor in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

475 Clinton Ave
Bridgeport, CT 06605-1700
Phone: (203) 368-5500
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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 5029 (CT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5029 (CT)

Record details

NPI number1124786546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address475 Clinton Ave, Bridgeport, CT 06605-1700

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