Cynthia Stober, LCMHC,LCAS, LPC | |
20180 Se 43rd St, Harrah, OK 73045-6147 | |
(919) 798-3262 | |
Not Available |
Full Name | Cynthia Stober |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 20180 Se 43rd St, Harrah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952426686 | NPI | - | NPPES |
14758 | Other | NC | LPC |
25470 | Other | NC | LCAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 14758 (North Carolina) | Primary |
101YM0800X | Counselor - Mental Health | 4247 (Oklahoma) | Secondary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Stober, LCMHC,LCAS, LPC 20180 Se 43rd St, Harrah, OK 73045-6147 Ph: (919) 798-3262 | Cynthia Stober, LCMHC,LCAS, LPC 20180 Se 43rd St, Harrah, OK 73045-6147 Ph: (919) 798-3262 |
Stephanie Lynn Laverty, LPN/LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20740 Autumn Ct, Harrah, OK 73045 Phone: 405-974-0023 | |
Rebecca D Webster, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18735 Ne 23rd St, Suite E, Harrah, OK 73045 Phone: 405-454-2121 Fax: 405-454-2121 |