Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clint Jay Stacy, PRSS-SUD

Individual provider Peer Specialist · NPI 1326912205

Clint Jay Stacy, PRSS-SUD is a Peer Specialist in Beckley, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

550 N Eisenhower Dr
Beckley, WV 25801-3109
Phone: (681) 323-8335
Fax: (681) 323-8335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-9156 (WV)

Record details

NPI number1326912205
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS-SUD
Sole proprietorYes
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

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