Stacy Davis is a Peer Specialist based in Ada, OK. Stacy Davis practices in Ada, OK. The NPI Number for Stacy Davis is 1861186835 and holds a License No. (Oklahoma).
The current practice location address for Stacy Davis is 230 E 12Th St, Ada, OK and can be reached out via phone at 580-332-3001 and via fax at 580-332-8774.
Location: 230 E 12Th St, Ada, OK, 74820-6508
Provider Profile Details
NPI Number
1861186835
Provider Name
Stacy Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
230 E 12Th St, Ada, OK, 74820-6508
Phone Number
580-332-3001
Fax Number
580-332-8774
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
230 E 12Th St
City
State
Zip
74820-6508
Phone Number
580-332-3001
Fax Number
580-332-8774
Provider Business Mailing Address Details
Address
230 E 12Th St
City
State
Zip
74820-6508
Phone Number
580-332-3001
Fax Number
580-332-8774
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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