Provider Demographics
NPI:1780696575
Name:MCLAUGHLIN, STACIE (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:STACIE
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:STACIE
Other - Middle Name:
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:8408 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-0043
Mailing Address - Country:US
Mailing Address - Phone:405-465-4907
Mailing Address - Fax:405-351-5233
Practice Address - Street 1:1020 NW 192ND ST STE F
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4296
Practice Address - Country:US
Practice Address - Phone:405-696-0031
Practice Address - Fax:405-351-5233
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional