# IRENE STACY COMMUNITY MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063410207
- **Authorized official:** MR. JOSEPH HAUSER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (724) 287-0791

## Contact information

- **Practice address:** 112 HILLVUE DR, BUTLER, PA 16001-3426
- **Practice address phone:** (724) 287-0791
- **Practice address fax:** (724) 287-8354
- **Mailing address:** 112 HILLVUE DR, BUTLER, PA 16001-3426
- **Mailing address phone:** (724) 287-0791
- **Mailing address fax:** (724) 287-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 101013 | PA | — |
| 101YM0800X | Mental Health Counselor | 423000 | PA | Yes |
| 101YP2500X | Professional Counselor | 423000 | PA | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 05/12/2015