Individual provider · Type 1 NPI

Stacey D. Middleton, MA, LPC

Professional Counselor · St. Charles, MO

NPI number 1053766063 Active

Practice location

1601 Old South River Rd
St. Charles, MO 63303-4120

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Other practice locations

  • 1570 S Main St, St. Charles, MO 63303-4149 · (636) 224-1000
  • 1001 Lynch St, St. Louis, MO 63118-1818 · (314) 535-5600

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2015000499 (MO)

Professional Counselor: Definition to come...

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About NPI 1053766063

Stacey D. Middleton, MA, LPC's National Provider Identifier is 1053766063, issued on Apr 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Charles, MO. The record was last updated on Jul 28, 2026.