Individual
MRS. STACY LEE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3300 S ASPEN AVE STE D, BROKEN ARROW, OK 74012-7501
(918) 973-1464
Mailing address
3300 S ASPEN AVE STE D, BROKEN ARROW, OK 74012-7501
(918) 974-1464
(910) 424-1418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6231
OK
101YP2500X
Professional Counselor
6909
NC
Other
Enumeration date
03/18/2008
Last updated
08/04/2025
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