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Susan Stacy, C-PRSS — NPI 1124511639, Mcloud, OK | NPI Central

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NPI 1124511639

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Susan Stacy, C-PRSS

NPI 1124511639 · Peer Specialist · Mcloud, OK

Provider details

NPI number: 1124511639
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: C-PRSS
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 132075 (OK)
Other Service Providers
Social Worker104100000X
Behavioral Health & Social Service Providers
Peer Specialist175T00000XLicense 13205 (OK)
Other Service Providers

Practice location

105365 S Highway 102

Mcloud, OK 74851-3051

Phone: (405) 988-2071

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

105365 S Highway 102

Mcloud, OK 74851-3051

Registry dates

Enumerated: 2018-06-08
Last updated: 2022-11-07
Certified: 2022-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.