Provider Demographics
NPI:1043521081
Name:FOCUS INSTITUTE OF STILLWATER, LLC
Entity type:Organization
Organization Name:FOCUS INSTITUTE OF STILLWATER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:405-377-6768
Mailing Address - Street 1:720 S HUSBAND ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4660
Mailing Address - Country:US
Mailing Address - Phone:405-377-6768
Mailing Address - Fax:405-377-0269
Practice Address - Street 1:720 S HUSBAND ST
Practice Address - Street 2:SUITE 15
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4660
Practice Address - Country:US
Practice Address - Phone:405-377-6768
Practice Address - Fax:405-377-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3284101YP2500X
OK884106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty