Provider Demographics
NPI:1245456631
Name:STEPHANIE WILLIAMS, LPC, PC
Entity type:Organization
Organization Name:STEPHANIE WILLIAMS, LPC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-341-7117
Mailing Address - Street 1:PO BOX 7865
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-7865
Mailing Address - Country:US
Mailing Address - Phone:405-341-7117
Mailing Address - Fax:405-341-7112
Practice Address - Street 1:1601 S STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3695
Practice Address - Country:US
Practice Address - Phone:405-341-7117
Practice Address - Fax:405-341-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty