Individual provider · Type 1 NPI

Stacey Hendrickson, LCSW

Mental Health Counselor · Johnson City, TN

NPI number 1972473486 Active

Practice location

817 W Walnut St Ste 12
Johnson City, TN 37604-6144

Call (423) 218-9394 Map

Mailing address

918 Althea St
Johnson City, TN 37601-2120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9383 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1972473486

Stacey Hendrickson, LCSW's National Provider Identifier is 1972473486, issued on Nov 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Johnson City, TN. The record was last updated on Nov 10, 2025.