Mr Stacy Sims Fortenberry, LPC - Counselor in Hattiesburg, MS

Mr Stacy Sims Fortenberry, LPC is a Counselor - Professional based in Hattiesburg, Mississippi. Mr Stacy Sims Fortenberry is licensed to practice in Mississippi (license number 0669) and her current practice location is 5 Orleans Dr, Suite 2, Hattiesburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 550-7383.

NPI number for Mr Stacy Sims Fortenberry is 1518227032 and her current mailing address is 22 Blossom Cir, Purvis, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518227032.

Contact Information

Mr Stacy Sims Fortenberry, LPC
5 Orleans Dr, Suite 2,
Hattiesburg, MS 39402-8675
(601) 550-7383
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Stacy Sims Fortenberry
GenderFemale
SpecialityCounselor - Professional
Location5 Orleans Dr, Hattiesburg, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518227032
  • Provider Enumeration Date: 05/17/2012
  • Last Update Date: 05/17/2012

Medical Identifiers

Medical identifiers for Mr Stacy Sims Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518227032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 0669 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stacy Sims Fortenberry is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Stacy Sims Fortenberry, LPC
22 Blossom Cir,
Purvis, MS 39475-3585

Ph: (601) 550-7383
Mr Stacy Sims Fortenberry, LPC
5 Orleans Dr, Suite 2,
Hattiesburg, MS 39402-8675

Ph: (601) 550-7383

Reviews and Comments


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