Provider Demographics
NPI:1811417249
Name:SCHINSKE, STACEY (LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:SCHINSKE
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8612 SW 65TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169-6966
Mailing Address - Country:US
Mailing Address - Phone:405-473-3460
Mailing Address - Fax:
Practice Address - Street 1:201 N BROADWAY ST STE 100
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5135
Practice Address - Country:US
Practice Address - Phone:405-990-0816
Practice Address - Fax:405-735-6116
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health