MRS. ASHLEY ELIZABETH STACY


Address: 801 E Main St, Tishomingo, OK 73460-2351
Phone: 5803713776

MRS. ASHLEY ELIZABETH STACY (NPI# 1891037412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891037412
Entity Type Individual
Full Name MRS. ASHLEY ELIZABETH STACY
Credential BS, BHRS
Practice Address 801 E Main St
Tishomingo
OK 73460-2351
Mailing Address 19385 Gardenhire Rd
Howe
OK 74940-7003
Practice Telephone 5803713776
Practice Fax Number 5803712056
Mailing Telephone 9186355613
Enumeration Date 2013-03-21
Last Update Date 2013-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200226970A 05

Other Providers ASHLEY STACY

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1619494648 Ashley Denise Stacy Marriage & Family Therapist 14221 Montego Bay Dr, Moreno Valley, CA 92553-2924 2017-08-30
1114388402 Ashley Stacy Licensed Practical Nurse 5500 Belle River Blvd, East China, MI 48054-4108 2016-03-14
1225674328 Ashley Stacy Behavior Technician 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 2019-11-23

Office Location

Street Address 801 E MAIN ST
City TISHOMINGO
State OK
Zip Code 73460-2351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891353819 Kristy Dawn Ford Counselor 801 E Main St, Tishomingo, OK 73460-2351 2019-06-04
1215498449 Ellen J Chapman Case Manager/Care Coordinator 801 E Main St, Tishomingo, OK 73460-2351 2019-03-29
1629503354 Jimmy Dewayne Spence Counselor 801 E Main St, Tishomingo, OK 73460-2351 2017-05-01
1114321478 Mathew Thomas Counselor 801 E Main St, Tishomingo, OK 73460-2351 2014-10-15
1841612751 Ruth Mcgraw Case Management 801 E Main St, Tishomingo, OK 73460-2351 2014-01-11
1831525591 Cade Joseph Kennison Case Manager/Care Coordinator 801 E Main St, Tishomingo, OK 73460-2351 2013-09-25
1912330713 Shannon Nicole Hughes Case Manager/Care Coordinator 801 E Main St, Tishomingo, OK 73460-2351 2013-08-15
1144666868 Sheila D Jones Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2013-05-21
1336585652 Jamie Griffith Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2013-05-14
1205177540 Julie B Carroll Counselor 801 E Main St, Tishomingo, OK 73460-2351 2013-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912380742 Lori Pigg Speech-Language Pathologist 508 N. Neshoba, Tishomingo, OK 73460 2015-06-29
1407241748 Brittany Walker Case Management 850 E. Highway 22, Tishomingo, OK 73460 2015-04-03
1427460641 Elizabeth Mcdonald Counselor 512 East 24th, Tishomingo, OK 73460 2014-05-22
1619387131 Sheri Slaughter Counselor 102 N. Neshoba, Tishomingo, OK 73460 2014-05-06
1336559848 Heather Marlatt Counselor 102 North Neshoba, Tishomingo, OK 73460 2014-05-06
1811231939 Wanda Luann Beesley Gray Emergency Medical Technician, Paramedic 3100 E St Hwy 78, Tishomingo, OK 73460 2012-11-15
1497014724 Jessica Kay Johnston Counselor Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 2012-05-07
1487910949 Rhonda Gayle Harrison Counselor 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 2012-04-09
1265704183 Parks Family Dental Preferred Provider Organization 1520 E. Main Street, Tishomingo, OK 73460 2012-02-08
1770852295 Gina Marice Frazier Social Worker Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 2011-12-29
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043638760 Jana Darnall Psychologist 405 N Neshoba St, Tishomingo, OK 73460-1247 2014-03-31
1881963338 Aimee Rhnea Ham Psychologist 510 E 21st St, Tishomingo, OK 73460-3201 2011-12-28
1558664094 Elizabeth Michelle Hart Psychologist 2511 W Morrow Rd, Tishomingo, OK 73460-0794 2010-12-06
1649588823 Barbara Jo Eckman Psychologist 7101 S Preston Rd, Tishomingo, OK 73460-4215 2010-09-21
1265843049 Kevin Adkison Psychologist 201 E Main St, Tishomingo, OK 73460-2339 2014-05-14
1144666868 Sheila D Jones Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2013-05-21
1336585652 Jamie Griffith Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2013-05-14
1073859047 Shelley Kay Johnson Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2012-12-19
1699026138 Lindsay Rana Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2012-09-24
1215290929 Deedra Leigh Mcmillin Psychologist 801 E Main St, Tishomingo, OK 73460-2351 2012-06-18
Find all providers in TISHOMINGO

Competitor

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City TISHOMINGO
Zip Code 73460

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Dataset Information

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.

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