Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACEY WHITEHEAD
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · CLAYTON, NC
Registration Details
- NPI Number
- 1457923971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2021 (4.7725087733908 yrs)
- Last Updated
- Jul 14, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
355 BECKWITH AVECLAYTON, NC, 275274258Browse NC providers · Browse ZIP 27527
- Phone
- 9195388945
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.