Stacy Anne Wyllie, is a
Marriage & Family Therapist based in Mandeville, Louisiana. Stacy Anne Wyllie is licensed to practice in Louisiana (license number MFT1581) and her current practice location is
540 Albert St, Mandeville, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(985) 373-6423.
NPI number for Stacy Anne Wyllie is 1275186983 and her current mailing address is 540 Albert St, Mandeville, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275186983.
Healthcare Provider's Profile
Full Name | Stacy Anne Wyllie |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 540 Albert St, Mandeville, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275186983
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 05/23/2025
Medical Identifiers
Medical identifiers for Stacy Anne Wyllie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275186983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT1581 (Louisiana) | 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. Stacy Anne Wyllie 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 Address | Practice Location Address |
Stacy Anne Wyllie, 540 Albert St, Mandeville, LA 70448-5402 Ph: (985) 373-6423 | Stacy Anne Wyllie, 540 Albert St, Mandeville, LA 70448-5402 Ph: (985) 373-6423 |
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