Provider Demographics
NPI:1558509232
Name:PARTON, STACY LYNN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:LYNN
Last Name:PARTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BEECH ST BLDG 7-3
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-1534
Mailing Address - Country:US
Mailing Address - Phone:309-340-9340
Mailing Address - Fax:
Practice Address - Street 1:1100 BEECH ST BLDG 7-3
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-1534
Practice Address - Country:US
Practice Address - Phone:309-340-9340
Practice Address - Fax:888-920-3465
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.003049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional