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STACEY HARGIS SURRATT MT-BC, LCAS, CSI
NPI 1356607915
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since April 09, 2012
10348 PARK RD, CHARLOTTE, NC 28210(704) 288-1097(704) 817-7421 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Hargis Surratt Mt-bc, Lcas, Csi NPPES

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

STACEY HARGIS SURRATT MT-BC, LCAS, CSI (NPI 1356607915) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (23622) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1356607915
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACEY HARGIS SURRATTCredential: MT-BC, LCAS, CSI
Location Address10348 PARK RDCharlotte, NC 28210-8507
Mailing Address10348 Park RdCharlotte, NC 28210-8507 · (704) 288-1097
Phone(704) 288-1097
Fax(704) 817-7421
Sole ProprietorYes
Enumeration DateApril 9, 2012
Last NPPES UpdateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1356607915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 23622
Also ListedMusic TherapistTaxonomy 225A00000X · License 10170 (NC)
10348 PARK RD, Charlotte, NC 28210
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Other Providers at the Same Location NPPES 20

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

ALEXIS WALTERS
Counselor (Mental Health)
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
THE BLANCHARD INSTITUTE
Substance Abuse Rehabilitation Facility
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
IVY LAPARISH GRAY LCSW
Counselor
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
MARY BETH SANDERS
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
DANIEL EDWARD MILAM CADC
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
LISA MILLER CSAC, ICRC
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
CHRISTIE M WHISENANT LCAS, LCMHC
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097
JULIE HATFIELD LCMHC
Counselor (Professional)
10348 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Surratt's NPI number?

The NPI number for Stacey Surratt is 1356607915. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Stacey Surratt located?

Stacey Surratt practices at 10348 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 288-1097.

What is Stacey Surratt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacey Surratt was last updated on June 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.