LACI CAMPBELL, INC. (NPI# 1063813392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063813392 |
| Entity Type | Organization |
| Organization Name | LACI CAMPBELL, INC. |
| Practice Address |
1409 S Main St Stillwater OK 74074-5836 |
| Mailing Address |
344176 E. 5000 Rd. Pawnee OK 74058 |
| Practice Telephone | 4055331222 |
| Practice Fax Number | 4055335422 |
| Mailing Telephone | 4057422943 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | LACI JOLEE CAMPBELL (MANAGER) |
| Authorized Official Telephone | 4057422943 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3563 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1409 S MAIN ST |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-5836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629215892 | Deborah Eck | Marriage & Family Therapist | 1409 S Main St, Stillwater, OK 74074-5836 | 2009-01-09 |
| 1508301144 | Mary Gibbons | Marriage & Family Therapist | 1409 S Main St, Stillwater, OK 74074-5836 | 2017-01-05 |
| 1518345586 | Keri Layton | Dietitian, Registered | 1409 S Main St, Stillwater, OK 74074-5836 | 2015-05-11 |
| 1164819827 | Latrisha Godwin | Counselor | 1409 S Main St, Stillwater, OK 74074 | 2015-04-21 |
| 1134524606 | Michelle Maddux | Marriage & Family Therapist | 1409 S Main St, Stillwater, OK 74074-5836 | 2014-10-27 |
| 1124382841 | Deleah Dawn Poe | Counselor | 1409 S Main St, Stillwater, OK 74074-5836 | 2012-06-27 |
| 1942571963 | Courtney Lowe | Counselor | 1409 S Main St, Stillwater, OK 74074-5836 | 2012-01-23 |
| 1730460999 | Melissa Grace Oliver | Counselor | 1409 S Main St, Stillwater, OK 74074-5836 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821508565 | Julie Anne Kaufman | Counselor | 324 Main St S Ste 290, Stillwater, MN 55082-5165 | 2017-10-09 |
| 1588189401 | Claudia Elizabeth Weese | Counselor | 215 W Mcelroy Rd Ste 8, Stillwater, OK 74075-3537 | 2017-08-11 |
| 1386938892 | Tonna K Noble | Counselor | 4824 W 9th Ave, Stillwater, OK 74074-1503 | 2011-06-01 |
| 1881992337 | Vickie Lynne Benton | Counselor | 1408 S Lewis St, Stillwater, OK 74074-5831 | 2011-03-08 |
| 1497071427 | Kristin Jennifer Muhl | Counselor | 275 3rd St S, Suite 303, Stillwater, MN 55082-4996 | 2010-04-15 |
| 1538325840 | Linda C Poe | Counselor | 1811 N Crescent Dr, Stillwater, OK 74075-3704 | 2008-08-06 |
| 1912114463 | Lori Jan O'malley | Counselor | 3003 Black Oak Dr, Stillwater, OK 74074-2226 | 2007-05-16 |
| 1720103989 | Betty Joanne Williamson | Counselor | 800 E 6th St, Ste B, Stillwater, OK 74074 | 2007-03-20 |
| 1396877957 | Thomas Jai Gross | Counselor | 434 Willard Hall, Oklahoma State University, Stillwater, OK 74078 | 2007-03-09 |
| 1134264682 | Paula Ann Lewis | Counselor | 2323 W 7th St, Suite 1, Stillwater, OK 74074 | 2007-02-21 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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| 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.