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General NPI Number Information
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NPI Number | 1336009745
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Entity Type | Organization
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Legal Business Name | STEVENS MHS LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 510 24TH AVE SW
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City | NORMAN
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State | OK
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Zip | 73069-5106
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Country | US
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Telephone | 405-329-7923
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Fax | 405-329-8815
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Provider Business Mailing Address
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Address Line | 3020 RED CEDAR WAY
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City | NORMAN
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State | OK
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Zip | 73069-1329
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Country | US
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Telephone | 405-443-7619
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Fax | 405-329-8815
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DEREK LEE STEVENS
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Credential | LPC
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Telephone | 405-443-7619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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