Provider Demographics
NPI:1982949061
Name:CASLER, STACIE ELIZABETH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:STACIE
Middle Name:ELIZABETH
Last Name:CASLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:STACIE
Other - Middle Name:ELIZABETH
Other - Last Name:COSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7935 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-8622
Mailing Address - Country:US
Mailing Address - Phone:918-212-8702
Mailing Address - Fax:
Practice Address - Street 1:7935 E 57TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-8622
Practice Address - Country:US
Practice Address - Phone:918-261-9601
Practice Address - Fax:918-371-0240
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional