STACY LYNN MITCHELL (NPI# 1043871213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043871213 |
| Entity Type | Individual |
| Full Name | STACY LYNN MITCHELL |
| Credential | LPC |
| Practice Address |
2035 W. Houson St. Suite A Broken Arrow OK 74012 |
| Mailing Address |
2035 W Houston St Ste A Broken Arrow OK 74012-8792 |
| Practice Telephone | 9188360239 |
| Mailing Telephone | 9188360239 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6880 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060095 | Stacy J Mitchell | Counselor | 315 Record St Ste 103, Reno, NV 89512-3327 | 2020-07-20 |
| 1790322006 | Stacy Mitchell | Behavior Technician | 1558 B St Ste 201, Hayward, CA 94541-3053 | 2019-12-05 |
| 1871994178 | Stacy Claire Mcdowell Mitchell | Massage Therapist | 465 Rainier Blvd N, Issaquah, WA 98027-2826 | 2014-09-06 |
| 1063845717 | Stacy Lynn Mitchell | Physical Therapist | 9601 Interstate 630 Exit 7, Physical Therapy Department, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1821389305 | Stacy Lynn Mitchell | Nurse Practitioner | 303 W Minnesota Park Rd, Hammond, LA 70403-6149 | 2011-05-02 |
| 1770651341 | Stacy Maureen Mitchell | Marriage & Family Therapist | 405 W 5th St Ste 590, Santa Ana, CA 92701-4519 | 2006-12-01 |
| Street Address |
2035 W. HOUSON ST. SUITE A |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| 1932648326 | Drew Endicott Dds and Associates Pllc | Dentist | 3300 S Aspen Ave Ste A, Broken Arrow, OK 74012 | 2017-02-17 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658321 | Individual and Family Matters LLC. | Counselor | 20216 E 43rd Pl S, Broken Arrow, OK 74014-1595 | 2020-04-20 |
| 1467010074 | Candice Collins | Counselor | 6501 S Garnett Rd, Broken Arrow, OK 74012-8529 | 2019-05-30 |
| 1215492400 | Amanda Jeanne Lee | Counselor | 29815 E 36th St S, Broken Arrow, OK 74014-8325 | 2019-02-01 |
| 1417496027 | Angela Moore | Counselor | 905 S 30th St, Broken Arrow, OK 74014-2848 | 2017-02-15 |
| 1841744356 | Dianna Lynn Schrimsher | Counselor | 410 N Palm Ct, Broken Arrow, OK 74012-2175 | 2016-08-12 |
| 1902266059 | Gamaliel Mananga | Counselor | 314 S Sycamore Pl, Broken Arrow, OK 74012-8367 | 2016-03-02 |
| 1659742997 | Amanda Hall | Counselor | 9545 Clearview Dr, Broken Arrow, OK 74014-3269 | 2015-10-13 |
| 1699190298 | Jennifer Johnson | Counselor | 2612 W Decatur St, Broken Arrow, OK 74011-6123 | 2014-02-19 |
| 1982033692 | Chris Jones | Counselor | 21560 E 161st St S, Broken Arrow, OK 74014-6446 | 2013-11-03 |
| 1285079889 | Roderick Vincent Knowles Jr. | Counselor | 11632 E 64th St, Broken Arrow, OK 74012-1369 | 2013-05-08 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on STACY LYNN MITCHELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.