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

Stafford Phillips, CPSS

Individual provider Peer Specialist · NPI 1821715780

Stafford Phillips, CPSS is a Peer Specialist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

429 Billingsley Rd
Charlotte, NC 28211-1007
Phone: (704) 445-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2021-4023-01 (NC)

Record details

NPI number1821715780
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorNo
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

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