| Cynthia Stober, LCMHC,LCAS, LPC | |
|
20180 Se 43rd St, Harrah, OK 73045-6147 | |
| (919) 798-3262 | |
| Not Available |
| Full Name | Cynthia Stober |
|---|---|
| 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 |
|---|---|
| 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 |