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

Individual provider Counselor · NPI 1376082719

Tyler Stacy, LPC is a Counselor in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana and Mississippi.

Licensed in
LA, MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4500 I 55 N Ste 208
Jackson, MS 39211-5931
Phone: (601) 405-7440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 Riverside Dr, Monroe, LA 71201-6211 — (601) 317-4517

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2366 (MS)
Counselor Taxonomy 101Y00000X · Licence 6721 (LA)

Record details

NPI number1376082719
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 17, 2017
Last updated in NPPESMarch 19, 2019
Mailing address4500 I 55 N Ste 208, Jackson, MS 39211-5931

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