IndividualActive
Stacey Phillips
NPI 1396340261 · Adult Psychiatric/Mental Health Registered Nurse · Peachtree City, GA
Provider details
- NPI number
- 1396340261
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
100 Governors Trce Ste 101
Peachtree City, GA 30269-4853
Phone: (770) 268-2520
Approximate (ZIP-level) locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.