Provider Demographics
NPI:1689213977
Name:LEPLEY, STACY (MA, NBCC, LMHCA)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:LEPLEY
Suffix:
Gender:F
Credentials:MA, NBCC, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IN
Mailing Address - Zip Code:46701-1503
Mailing Address - Country:US
Mailing Address - Phone:260-449-0489
Mailing Address - Fax:
Practice Address - Street 1:121 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-1745
Practice Address - Country:US
Practice Address - Phone:260-449-0489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001110A101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor