Stacy White, LMFT is a
Marriage & Family Therapist based in Purvis, Mississippi. Stacy White is licensed to practice in * (Not Available) (license number ) and her current practice location is
805 Highway 589, Purvis, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 794-6543.
NPI number for Stacy White is 1174809891 and her current mailing address is Po Box 18679, Hattiesburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174809891.
Healthcare Provider's Profile
| Full Name | Stacy White |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 805 Highway 589, Purvis, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174809891
- Provider Enumeration Date: 10/26/2011
- Last Update Date: 10/26/2011
Medical Identifiers
Medical identifiers for Stacy White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174809891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacy White, LMFT
Po Box 18679,
Hattiesburg, MS 39404-8679
Ph: (601) 705-1901 | Stacy White, LMFT
805 Highway 589,
Purvis, MS 39475-4194
Ph: (601) 794-6543 |
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