person
Stacey L Long, CPSS
Peer Specialist in Charlotte, North Carolina
NPI 1598498289

Stacey L Long is a Peer Specialist based in Charlotte, NC. Stacey L Long practices in Charlotte, NC and has the professional credentials of CPSS. The NPI Number for Stacey L Long is 1598498289 and holds a License No. 2022-9337-01 (North Carolina).

The current practice location address for Stacey L Long is 429 Billingsley Rd, Charlotte, NC and can be reached out via phone at 704-445-6900.

Location: 429 Billingsley Rd, Charlotte, NC, 28211-1007
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Provider Profile Details
NPI Number
1598498289
Provider Name
Stacey L Long
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
429 Billingsley Rd, Charlotte, NC, 28211-1007
Phone Number
704-445-6900
Fax Number
Provider Enumeration Date
07/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
429 Billingsley Rd
City
State
Zip
28211-1007
Phone Number
704-445-6900
Fax Number
person
Provider Business Mailing Address Details
Address
429 Billingsley Rd
City
State
Zip
28211-1007
Phone Number
704-445-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
2022-9337-01 (North Carolina)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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