Healthcare Provider Details

I. General information

NPI: 1194037002
Provider Name (Legal Business Name): STEPHANY STEELE LPC 10402
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SW 10TH ST
OKLAHOMA CITY OK
73109-5610
US

IV. Provider business mailing address

420 SW 10TH ST
OKLAHOMA CITY OK
73109-5601
US

V. Phone/Fax

Practice location:
  • Phone: 405-236-0701
  • Fax:
Mailing address:
  • Phone: 405-236-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10402
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: