Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Kyle Stacy, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710540422

Mr. Timothy Kyle Stacy, CDCA is an Addiction (Substance Use Disorder) Counselor in Chillicothe, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

46 E Water St
Chillicothe, OH 45601-2544
Phone: (740) 656-8015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 169687 (OH)

Record details

NPI number1710540422
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESApril 18, 2019

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