Healthcare Provider Details

I. General information

NPI: 1922339027
Provider Name (Legal Business Name): STACY LATOYA RAMSEY LADC/MH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 PARKLAWN DR STE 304
MIDWEST CITY OK
73110-4230
US

IV. Provider business mailing address

2801 PARKLAWN DR STE 304
MIDWEST CITY OK
73110-4230
US

V. Phone/Fax

Practice location:
  • Phone: 580-362-0380
  • Fax:
Mailing address:
  • Phone: 405-792-2531
  • Fax: 405-300-0767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1126
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1126
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: