STACEY PURDY - NPI 1114759412 - Peer Specialist in Middleburg Heights, OH

Q: What is Stacey Purdy's NPI number?

The NPI number for Stacey Purdy is 1114759412. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Q: What is Stacey Purdy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Purdy was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacey Purdy NPPES

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

STACEY PURDY (NPI 1114759412) is an individual peer specialist in Middleburg Heights, Ohio, licensed in Ohio (APS.004045) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1114759412

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSTACEY PURDY

Location Address13377 SMITH RDMiddleburg Heights, OH 44130-7810

Mailing Address13377 Smith RdMiddleburg Heights, OH 44130-7810 · (440) 340-5558 · Fax (440) 340-5575

Phone(440) 340-5558

Fax(440) 340-5575

Sole ProprietorYes

Enumeration DateAugust 15, 2024

NPPES CertifiedAugust 15, 2024

✔ NPI 1114759412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OH · APS.004045

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.

13377 SMITH RD, Middleburg Heights, OH 44130

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