Buchanan, Stacia A
Buchanan, Stacia A is an sole proprietor health care provider with primary practice located at 1503 W Gore Blvd , Lawton OK 73501-3608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Buchanan, Stacia A can be contacted via phone (580) 730-0232.Contact Information
Primary practice address
1503 W Gore Blvd
Lawton OK 73501-3608
Phone: (580) 730-0232
Fax: (833) 279-4266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1427193820 |
|---|---|
| LBN Legal business name | Buchanan, Stacia A |
| Credentials | MSBS, LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427193820 | NPPES |
| Oklahoma | MEDICAID | 200949300 | |
| Oklahoma | MEDICAID | 200440680A |
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