Individual
MITCHELL LEE STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
590 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3083
(812) 288-4688
(812) 610-8333
Mailing address
590 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3083
(812) 288-4688
(812) 610-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005810A
IN
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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