STACY WRIGHT NPI 1144732264

NPI Information

  • NPI: 1144732264
  • Provider Name: STACY WRIGHT
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: FAITHFUL COUNSEL
  • Address: 5505 S COUNTY ROAD 475 E
    SELMA, IN
    ZIP 47383
  • Phone: (219) 714-7147

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NPI Details

STACY WRIGHT is a clinical psychologist in Selma, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. STACY WRIGHT NPI is 1144732264. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Faithful Counsel.

The provider's business location address is:

5505 S COUNTY ROAD 475 E
SELMA, IN
ZIP 47383-678
Phone: (219) 714-7147
Fax: (219) 627-1887

The provider's authorized official is Stacy L Wright .
The authorized official title is Psychologist and has the following contact phone number (219) 714-7147.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3103TC0700XPsychologistClinical20041886AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1669102OTHERINDIANABEACON HEALTH OPTIONS
2000000834190OTHERINDIANAANTHEM BLUE CROSS BLUE SHIELD
3200813850AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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