Individual provider · Type 1 NPI

Clint Jay Stacy, PRSS-SUD

Peer Specialist · Beckley, WV

NPI number 1326912205 Active

Practice location

550 N Eisenhower Dr
Beckley, WV 25801-3109

Call (681) 323-8335 Map

Fax (681) 323-8335

Mailing address

PO Box 464
Panther, WV 24872-0464

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-9156 (WV)

Peer Specialist: 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.

3 other providers at this address

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About NPI 1326912205

Clint Jay Stacy, PRSS-SUD's National Provider Identifier is 1326912205, issued on Oct 2, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beckley, WV. The record was last updated on Oct 2, 2025.