Individual ProviderStacy WitzkiCounselorBehavioral Health & Social Service ProvidersPractice Address110 Westwoods Dr, Liberty, MO 64068-1181(816) 974-7363PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Witzki does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396140315Provider TypeIndividualFull NameWitzki, StacyGenderFemaleSole ProprietorYesEnumeration Date11/3/2014Last Updated4/5/2022Contact InformationPractice LocationPractice Address110 Westwoods Dr, Liberty, MO 64068-1181Phone(816) 974-7363FaxUnlisted FaxMailing LocationMailing Address110 Westwoods Dr, Liberty, MO 64068-1181Phone(816) 974-7363FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2013044842Missouri