Phillip Stacy, CDCA
Phillip Stacy, CDCA is a Children's Substance Abuse Rehabilitation Facility in Mansfield, Ohio. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
741 Scholl RdMansfield, OH 44907-1571
Phone: (419) 756-1717
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 2775 State Route 39, Shelby, OH 44875-9466 — (419) 747-3322
- 2775 State Route 39, Shelby, OH 44875-9466 — (419) 747-3322
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Children's Substance Abuse Rehabilitation Facility | Taxonomy 3245S0500X |
Record details
| NPI number | 1740787886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2018 |
| Last updated in NPPES | May 1, 2018 |
| Mailing address | 741 Scholl Rd, Mansfield, OH 44907-1571 |
Other providers in Mansfield
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Keystone Richland Center, LLC
1451 Lucas Rd, Mansfield, OH 44903-8682 · (419) 589-5511
-
Mr. Brandon Stone, CDCA
151 Marion Ave, Mansfield, OH 44903-2223 · (419) 774-9969