MS. STACEY NICOLE DEAN (NPI# 1679771968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679771968 |
| Entity Type | Individual |
| Full Name | MS. STACEY NICOLE DEAN |
| Credential | LPC |
| Practice Address |
4200 N Peniel Ave Bethany OK 73008-2742 |
| Mailing Address |
Po Box 184 Bethany OK 73008-0184 |
| Practice Telephone | 4057176200 |
| Mailing Telephone | 4057176200 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3147 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757256 | Stacey Dean | Registered Nurse | 8727 West Squaw Lake Road, Lac Du Flambeau, WI 54538 | 2010-04-01 |
| 1770119042 | Stacey Renee Dean | Pharmacist | 2116 W Laburnum Ave, Richmond, VA 23227-4359 | 2020-03-19 |
| Street Address |
4200 N PENIEL AVE |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245516848 | Inner Harmony | Counselor | 4200 N Peniel Ave, Bethany, OK 73008-2742 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629577093 | Mindful Warrior Institute, LLC | Counselor | 7916 Nw 23rd St # 199, Bethany, OK 73008-4950 | 2018-02-12 |
| 1497142111 | Cathy Wahkinney | Counselor | 7300 Nw 23rd St Ste 301, Bethany, OK 73008-5128 | 2015-04-21 |
| 1508281049 | Keneise Johnson | Counselor | 1725 N Gleason Ave, Bethany, OK 73008-6149 | 2014-02-20 |
| 1386944056 | Lynda Luann Hills | Counselor | 8129 Nw 44th Cir, Bethany, OK 73008-2205 | 2010-10-28 |
| 1588971402 | Charlotte Iaquinta | Counselor | 4000 Spyglass Ln, Bethany, OK 73008-3060 | 2010-09-13 |
| 1295042596 | Diane Elaine Glass-burks | Counselor | 7908 N.w. 23rd St, Bethany, OK 73008 | 2010-09-08 |
| 1558678854 | Jack Dean Lapsley | Counselor | 7908 N.w. 23rd St., Bethany, OK 73008 | 2010-09-08 |
| 1669798013 | Cindy Ruth Cunningham | Counselor | 2328 N Donald Ave, Bethany, OK 73008-5942 | 2010-04-09 |
| 1982920583 | Charles Corbin Humble | Counselor | 3908 N Peniel Ave Ste 500, Bethany, OK 73008-3402 | 2010-04-08 |
| 1154497022 | Lucinda Dawn Maddox | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2006-11-24 |
| Find all providers in BETHANY | ||||
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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.