Individual provider · Type 1 NPI

Stacy Lee Gibbs, LPC

Professional Counselor · Broken Arrow, OK

NPI number 1194996199 Active

Practice location

3300 S Aspen Ave Ste D
Broken Arrow, OK 74012-7501

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500X6909 (NC)
Professional Counselor Primary 101YP2500X6231 (OK)

Professional Counselor: Definition to come...

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About NPI 1194996199

Stacy Lee Gibbs, LPC's National Provider Identifier is 1194996199, issued on Mar 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 4, 2025.