Johnson, Stacey Nicolle

Johnson, Stacey Nicolle is an sole proprietor health care provider with primary practice located at 16725 Little Leaf Ln , Edmond OK 73012-0675. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Johnson, Stacey Nicolle can be contacted via phone (405) 409-2878.

Contact Information

Primary practice address
16725 Little Leaf Ln Edmond OK 73012-0675
Phone: (405) 409-2878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1053757286
LBN Legal business name Johnson, Stacey Nicolle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated May 14th, 2013 - about 12 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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