Hart, Candice Leigh

Hart, Candice Leigh is an sole proprietor health care provider with primary practice located at 119 W 6Th Ave Ste. 117, Bristow OK 74010. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Agencies / Case Management, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hart, Candice Leigh can be contacted via phone (918) 771-8653.

Contact Information

Primary practice address
119 W 6Th Ave Ste. 117 Bristow OK 74010
Phone: (918) 771-8653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 310698 Oklahoma
Other Service Providers / Peer Specialist 175T00000X 108211 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Agencies / Case Management 251B00000X 310698 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X Oklahoma

Profile Details

NPI number 1689991085
LBN Legal business name Hart, Candice Leigh
Credentials LPC-CANDIDATE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2010
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689991085 NPPES
Oklahoma MEDICAID 200555170B
Oklahoma MEDICAID 200555170A

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