STACEY KELLER CPS - NPI 1114509775 - Peer Specialist in Phoenixville, PA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Stacey Keller Cps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY KELLER CPS (NPI 1114509775) is an individual peer specialist in Phoenixville, Pennsylvania and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1114509775

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSTACEY KELLERCredential: CPS

Location Address1041 W BRIDGE ST # B5Phoenixville, PA 19460-4342

Mailing Address1041 W Bridge St # B5Phoenixville, PA 19460-4342 · (610) 415-9301 · Fax (610) 415-1656

Phone(610) 415-9301

Fax(610) 415-1656

Sole ProprietorNo

Enumeration DateApril 23, 2021

NPPES CertifiedApril 23, 2021

✔ NPI 1114509775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

1041 W BRIDGE ST # B5, Phoenixville, PA 19460

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN PEREZ-MENDEZ

Rehabilitation Counselor