Gerald Wayne Atchley, MHR, LPC
Individual provider Active NPI Mental Health Counselor · Sand Springs, OK
NPI 1023212370 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1023212370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2622 (OK)
- Practice address
- 20866 W. 71 St
Sand Springs, OK 74063 - Phone
- (918) 637-4389
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2622 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2622 | OK | Yes |
Addresses
Primary practice location
20866 W. 71 St
Sand Springs, OK 74063
Mailing address
20866 W. 71 St
Sand Springs, OK 74063
Phone (918) 637-4389
Other providers in Sand Springs, OK
- Ladawn Archer
- Asmg Sand Springs
- Associated Centers for Therapy
- Associated Centers for Therapy, Inc.
- Associated Centers for Therapy, Inc.
- Julie Ann Bailey
- Summer Alice Baker
- Denise Bandl
- Kara Jade Barton
- Beatty-JTJV LLC
All providers in Sand Springs, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.