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1710166350 NPI number — STEPHANIE LYNN BRACE MHR, LPC

NPI Number: 1710166350
Health Care Provider/Practitioner: STEPHANIE LYNN BRACE MHR, LPC

Information about “1710166350” NPI (STEPHANIE LYNN BRACE MHR, LPC) exists in 1710166350 in HTML format HTML  |  1710166350 in plain Text format TXT  |  1710166350 in PDF (Portable Document Format) PDF  |  1710166350 in an XML format XML  formats.

NPI Number : 1710166350 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710166350",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRACE",
    "FirstName": "STEPHANIE",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MHR, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STACKENWALT",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "ALLEMAN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 748465",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-8465",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-284-7483",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8520 W KELLY SUE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STILLWATER",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74074-1560",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-612-4773",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/31/2007",
    "LastUpdateDate": "09/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "LPC03284",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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