MEDICARE: DEVON STUART MS, LPC-MHSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3577	TN
2	101YM0800X	Mental Health Counselor	3577	TN

General Provider Information

NPI Number	:	1215180062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON STUART MS, LPC-MHSP

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	865-588-3173
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 S MOUNT JULIET RD STE 130
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-6496
Country	:	US
Telephone Number	:	865-588-3173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	02/23/2026

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