Ridley, Stacie Lorinda

Ridley, Stacie Lorinda is an individual health care provider with primary practice located at 11740 S 129Th East Ave , Broken Arrow OK 74011-1901. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ridley, Stacie Lorinda can be contacted via phone (918) 268-8864.

Contact Information

Primary practice address
11740 S 129Th East Ave Broken Arrow OK 74011-1901
Phone: (918) 268-8864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922596295
LBN Legal business name Ridley, Stacie Lorinda
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2018
Last updated Jul 26th, 2023 - 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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