Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vivianna Stacy

Individual provider Mental Health Counselor · NPI 1164334462

Vivianna Stacy is a Mental Health Counselor in Dekalb, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

304 N 6th St
Dekalb, IL 60115-3484
Phone: (815) 375-5261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IL)

Record details

NPI number1164334462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

Other providers in Dekalb