Individual provider · Type 1 NPI

Stacy Lyles

Professional Counselor · Florissant, MO

NPI number 1467840397 Active

Practice location

11650 New Halls Ferry Rd
Florissant, MO 63033-6924

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2014022301 (MO)

Professional Counselor: Definition to come...

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About NPI 1467840397

Stacy Lyles's National Provider Identifier is 1467840397, issued on Dec 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Florissant, MO. The record was last updated on Dec 30, 2014.