Stacey Lynn Tissue, LLBSW

Case Manager/Care Coordinator · Port Huron, MI

Individual Active NPI

NPI number 1043482854

Practice location

2875 Henry St
Port Huron, MI 48060-2526
Phone
(810) 987-9700

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NPI record

NPI
1043482854
Entity type
Individual (Type 1)
Enumeration date
April 1, 2008
Last updated
April 1, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X 6802086138 MI

Mailing address

4090 Wellman Line Rd
Jeddo, MI 48032-8105

About Stacey Tissue

Stacey Lynn Tissue, LLBSW is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2875 Henry St, Port Huron, MI 48060-2526. The NPI number 1043482854 was assigned on April 1, 2008 and the record was last updated on April 1, 2008.

Stacey Tissue lists a license in the registry: #6802086138 (MI) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Lynn Tissue, LLBSW?

The NPI number is 1043482854.

What is the phone number of Stacey Tissue?

The phone number listed for the practice location is (810) 987-9700.

Where is Stacey Tissue located?

2875 Henry St, Port Huron, MI 48060-2526.

What is the taxonomy code for Stacey Tissue?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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