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MR. STACEY WHITEHEAD
NPI 1457923971
Residential Treatment Facility, Emotionally Disturbed Children in Clayton, NC

Active since July 14, 2021
355 BECKWITH AVE, CLAYTON, NC 27527(919) 538-8945 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Stacey Whitehead NPPES

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

MR. STACEY WHITEHEAD (NPI 1457923971) is an individual residential treatment facility, emotionally disturbed children provider in Clayton, North Carolina and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1457923971
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameMR. STACEY WHITEHEAD
Location Address355 BECKWITH AVEClayton, NC 27527-4258
Mailing Address1100 Logger Ct Ste A102Raleigh, NC 27609-8506 · (919) 538-8945 · Fax (919) 803-2808
Phone(919) 538-8945
Sole ProprietorYes
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1457923971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
355 BECKWITH AVE, Clayton, NC 27527
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Other Providers at the Same Location NPPES

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

RENE WHITEHEAD MS, LCAS-A
Counselor (Addiction (Substance Use Disorder))
355 BECKWITH AVE
CLAYTON, NC 27527
Johnston County (919) 538-8920

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 Whitehead's NPI number?

The NPI number for Stacey Whitehead is 1457923971. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Stacey Whitehead located?

Stacey Whitehead practices at 355 Beckwith Ave, Clayton, NC 27527. The listed phone number is (919) 538-8945.

What is Stacey Whitehead's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Stacey Whitehead was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.