NPI 1275186983

Stacy Anne Wyllie

Practitioner Marriage & Family Therapist Mandeville, LA

Practice location

Address: 540 Albert St, Mandeville, LA 70448-5402
Phone: (985) 373-6423

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT1581 (LA)

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Registry record

NPI: 1275186983
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2019
Record last updated: 23 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.