Christy Lewallen
Individual provider Active NPI Counselor · Morrison, OK
NPI 1811279474 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1811279474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 711 Mary
Morrison, OK 73061-9404 - Phone
- (405) 880-3091
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
711 Mary
Morrison, OK 73061-9404
Mailing address
711 Mary
Morrison, OK 73061-9404
Other providers in Morrison, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. 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.