MEDICARE: MRS. STACY LATOYA RAMSEY LADC/MH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1126	OK
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	1126	OK

General Provider Information

NPI Number	:	1922339027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STACY LATOYA RAMSEY LADC/MH

Provider Business Mailing Address
First Line	:	2801 PARKLAWN DR STE 304
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4230
Country	:	US
Telephone Number	:	405-792-2531
Fax Number	:	405-300-0767

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR STE 304
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4230
Country	:	US
Telephone Number	:	580-362-0380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	04/28/2026

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