Riddle-Mattox, Stacy
Riddle-Mattox, Stacy is an sole proprietor health care provider with primary practice located at 152 Highway 7 S , Oxford MS 38655-5392. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Riddle-Mattox, Stacy can be contacted via phone (662) 234-7521.Contact Information
Primary practice address
152 Highway 7 S
Oxford MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Mississippi | |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Mississippi |
Profile Details
| NPI number | 1629348396 |
|---|---|
| LBN Legal business name | Riddle-Mattox, Stacy |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2012 |
| Last updated | Nov 19th, 2021 - about 5 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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