Stone, Tracie

Stone, Tracie is an individual health care provider with primary practice located at 205 S Adair St , Pryor OK 74361-5201. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Stone, Tracie can be contacted via phone (918) 825-4872.

Contact Information

Primary practice address
205 S Adair St Pryor OK 74361-5201
Phone: (918) 825-4872
Fax: (918) 825-4873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1265854475
LBN Legal business name Stone, Tracie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2014
Last updated Oct 18th, 2021 - about 4 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 1265854475 NPPES
Oklahoma MEDICAID 200240050A

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