Henson, Stacy Renee

Henson, Stacy Renee is an sole proprietor health care provider with primary practice located at 1414 N Kennedy Ave Ste 111 , Shawnee OK 74801-4761. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Henson, Stacy Renee can be contacted via phone (405) 878-7400.

Contact Information

Primary practice address
1414 N Kennedy Ave Ste 111 Shawnee OK 74801-4761
Phone: (405) 878-7400
Fax: (405) 878-5558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3947 Oklahoma
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1982847885
LBN Legal business name Henson, Stacy Renee
Credentials MED, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2009
Last updated Dec 1st, 2010 - about 14 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.

Request for update

Popular Providers