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Stacey Denise Guthrie, LPC-S

Counselor, Professional in Olive Branch, MS. Individual provider (NPI-1).

NPI number1124477955
StatusActive
Last updated in NPPESDec 6, 2025

Details

NPI
1124477955
Entity type
Individual (NPI-1)
Name
Mrs. Stacey Denise Guthrie
Credential
LPC-S
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 13, 2016
Certification date
Dec 6, 2025
Last updated
Dec 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional1239MSYes
101YS0200X Counselor, School1239MS
101YM0800X Counselor, Mental Health1239MS

Practice location

9761 Dorothy Dr
Olive Branch, MS 38654-6598

Phone 901-412-2720

Mailing address

8626 Airways Blvd
Southaven, MS 38671-2603

Phone 662-772-5937 · Fax 662-772-5940

Other practice locations

8626 Airways Blvd
Southaven, MS 38671-2603

Phone 662-772-5937 · Fax 662-772-5940

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