Provider Demographics
NPI:1619780152
Name:STUCKY, BRIER (LMHC)
Entity type:Individual
Prefix:
First Name:BRIER
Middle Name:
Last Name:STUCKY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-2008
Mailing Address - Country:US
Mailing Address - Phone:260-307-5030
Mailing Address - Fax:260-307-5461
Practice Address - Street 1:105 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-2008
Practice Address - Country:US
Practice Address - Phone:260-307-5030
Practice Address - Fax:260-307-5461
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN390052974A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health