MRS. STEPHENIE M IVY M.ED, LPC
NPI 1922219781
Counselor - Mental Health in Okmulgee, OK
Active since May 24, 2007
About Mrs. Stephenie M Ivy M.ed, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STEPHENIE M IVY M.ED, LPC (NPI 1922219781) is an individual mental health provider in Okmulgee, Oklahoma and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1922219781
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. STEPHENIE M IVYCredential: M.ED, LPC
Location Address323 W 6TH STOkmulgee, OK 74447-5019
Mailing Address923 S Rogers AveOkmulgee, OK 74447-6053
Phone(918) 650-9500
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1922219781 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
323 W 6TH ST, Okmulgee, OK 74447
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
323 W 6TH ST
OKMULGEE, OK 74447
OKMULGEE, OK 74447
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922219781, enumerated as an "individual" on May 24, 2007.
The provider is located at 323 W 6TH ST OKMULGEE, OK 74447 and the phone number is (918) 650-9500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.