Provider Demographics
NPI:1225218332
Name:MCCARTY-NASH, STACY D (LMFT)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:D
Last Name:MCCARTY-NASH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:D
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7203 LYNDAM HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4522
Mailing Address - Country:US
Mailing Address - Phone:281-757-7815
Mailing Address - Fax:
Practice Address - Street 1:1217 SCARLET CREEK DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-4177
Practice Address - Country:US
Practice Address - Phone:281-757-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001690106H00000X
FLMT4308106H00000X
TX202125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist