Provider Demographics
NPI:1134435308
Name:STOKES, KRISTY LEIGH (LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LEIGH
Last Name:STOKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12640 W STATE HIGHWAY 155
Mailing Address - Street 2:
Mailing Address - City:DARDANELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72834-8291
Mailing Address - Country:US
Mailing Address - Phone:318-278-7399
Mailing Address - Fax:
Practice Address - Street 1:12640 W STATE HIGHWAY 155
Practice Address - Street 2:
Practice Address - City:DARDANELLE
Practice Address - State:AR
Practice Address - Zip Code:72834-8291
Practice Address - Country:US
Practice Address - Phone:318-278-7399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1007051101YP2500X
LA3682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional