STACEY HARGIS SURRATT MT-BC LCAS CSI NPI 1356607915

NPI Information

NPI: 1356607915
Provider Name: STACEY HARGIS SURRATT, MT-BC, LCAS, CSI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10348 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 288-1097
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Stacey Hargis Surratt, MT-BC, LCAS, CSI is an addiction (substance use disorder) counselor in Charlotte, NC. Stacey Hargis Surratt, MT-BC, LCAS, CSI NPI is 1356607915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10348 PARK RD
CHARLOTTE, NC
ZIP 28210-507
Phone: (704) 288-1097
Fax: (704) 817-7421

The enumeration date for this NPI number is 4/9/2012 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225A00000X	Music Therapist		10170	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	23622	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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