STACEY WALSTON NPI 1780369439

NPI Information

  • NPI: 1780369439
  • Provider Name: STACEY WALSTON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 555 STOCKTON ST
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 574-2061

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NPI Details

Stacey Walston is a mental health counselor in Jacksonville, FL. Stacey Walston NPI is 1780369439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 STOCKTON ST
JACKSONVILLE, FL
ZIP 32204-534
Phone: (904) 574-2061

The NPI 1780369439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.

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 HealthIMH12155FLORIDAYes

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: 11/21/2025

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