Stacie Ridley's National Provider Identifier (NPI) Details
Stacie Ridley, LPC
NPI: 1922596295
Enumeration Date: 2018-04-23
Last updated: 2023-07-26
Sole Proprietor: NO
Status: active
Postal Address: 11740 S 129TH EAST AVE, BROKEN ARROW, OK
Phone: 918-268-8864
Primary Practice Address: 11740 S 129TH EAST AVE, BROKEN ARROW, OK
Practice's phone: 918-268-8864