Provider Demographics
NPI:1104170596
Name:STOKES AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:STOKES AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:712-574-9220
Mailing Address - Street 1:600 4TH ST. SUITE 303
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1747
Mailing Address - Country:US
Mailing Address - Phone:712-222-1432
Mailing Address - Fax:712-222-1433
Practice Address - Street 1:600 4TH ST. SUITE 303
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1747
Practice Address - Country:US
Practice Address - Phone:712-222-1432
Practice Address - Fax:712-222-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IA12R099103TA0400X
IA00475103TC0700X
IA01004103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA12161205OtherCAQH
NE10025237200Medicaid
IA1003826959Medicaid
SD6552520Medicaid
IA0109654Medicaid
SD6552520Medicaid