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

Mr. Stacey Whitehead

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1457923971

Mr. Stacey Whitehead is an Emotionally Disturbed Childrens' Residential Treatment Facility in Clayton, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

355 Beckwith Ave
Clayton, NC 27527-4258
Phone: (919) 538-8945
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1457923971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address1100 Logger Ct Ste A102, Raleigh, NC 27609-8506

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