Provider Demographics
NPI:1679233795
Name:STARTING POINT BEHAVIORAL HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:STARTING POINT BEHAVIORAL HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-505-0465
Mailing Address - Street 1:217779 E 750 RD
Mailing Address - Street 2:
Mailing Address - City:CAMARGO
Mailing Address - State:OK
Mailing Address - Zip Code:73835-2044
Mailing Address - Country:US
Mailing Address - Phone:580-505-0465
Mailing Address - Fax:
Practice Address - Street 1:1428 OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-4457
Practice Address - Country:US
Practice Address - Phone:580-505-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK10440OtherLPC LICENSE