Healthcare Provider Details

I. General information

NPI: 1225218332
Provider Name (Legal Business Name): STACY D MCCARTY-NASH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACY D MCCARTY

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 SCARLET CREEK DR
ROSHARON TX
77583-4177
US

IV. Provider business mailing address

7203 LYNDAM HILL CIR
LORTON VA
22079-4522
US

V. Phone/Fax

Practice location:
  • Phone: 281-757-7815
  • Fax:
Mailing address:
  • Phone: 281-757-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001690
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4308
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number202125
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: