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

Stacy Natasha Wilson, PSYD, LCAS, MAC

Individual provider Psychologist · NPI 1992261085

Stacy Natasha Wilson, PSYD, LCAS, MAC is a Psychologist in Winton, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

145 Parker Fishery Rd
Winton, NC 27986-9763
Phone: (252) 358-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1014 Island Park Cir, Suffolk, VA 23435-3275 — (646) 244-9493

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-3290 (NC)
Psychologist Taxonomy 103T00000X · Licence 4371 (NC)

Record details

NPI number1992261085
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LCAS , MAC
Sole proprietorYes
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 14, 2019

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