| Sydlyfe Counseling Services, Llc | |
|
3606 N Mlk Blv Jr. Tulsa OK 74106-1700 | |
| (918) 231-0684 | |
| Not Available |
| Full Name | Sydlyfe Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3606 N Mlk Blv Jr., Tulsa, Oklahoma |
| Authorized Official Name and Position | Norris V Scott (CEO) |
| Authorized Official Contact | 9182310684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sydlyfe Counseling Services, Llc Po Box 48646 Tulsa OK 74148-0646 Ph: (918) 231-0684 | Sydlyfe Counseling Services, Llc 3606 N Mlk Blv Jr. Tulsa OK 74106-1700 Ph: (918) 231-0684 |
| NPI Number | 1154669828 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 8921349838 |
|---|---|
| Medicare Enrollment ID | O20190402002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154669828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
| Provider Name | Sojourner R Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619265931 PECOS PAC ID: 6507115581 Enrollment ID: I20180824000549 |
| Provider Name | Michael White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568712461 PECOS PAC ID: 1456702075 Enrollment ID: I20240109000450 |
| Provider Name | Chrystal Brassfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043592132 PECOS PAC ID: 1658722293 Enrollment ID: I20240109001161 |
| Provider Name | Amber E Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558641498 PECOS PAC ID: 7416308960 Enrollment ID: I20240109001756 |
| Provider Name | Deamber Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023342763 PECOS PAC ID: 1254782717 Enrollment ID: I20240109002125 |
| Provider Name | Danella Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922547108 PECOS PAC ID: 9032560594 Enrollment ID: I20240109002232 |
| Provider Name | Jaron Lavell Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457704793 PECOS PAC ID: 3870944341 Enrollment ID: I20240109002543 |
| Provider Name | Seunarine Ramkaran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669421616 PECOS PAC ID: 8325499809 Enrollment ID: I20240109002872 |
| Provider Name | Freddie Hendreson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073805677 PECOS PAC ID: 2264883768 Enrollment ID: I20240109003578 |
| Provider Name | Sumeko D Rex |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730413543 PECOS PAC ID: 6406207919 Enrollment ID: I20240109003881 |
| Provider Name | Staci Craven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841620325 PECOS PAC ID: 7517318959 Enrollment ID: I20240110000501 |
| Provider Name | Vosia Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053659946 PECOS PAC ID: 8921459041 Enrollment ID: I20240112001611 |
| Provider Name | Twytinna Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629367206 PECOS PAC ID: 9335590413 Enrollment ID: I20240112003317 |
| Provider Name | Sonja Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184934176 PECOS PAC ID: 1355793944 Enrollment ID: I20240118004777 |
| Provider Name | Morgan Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861052839 PECOS PAC ID: 7113360579 Enrollment ID: I20240213002211 |
| Provider Name | Gwynette Chaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366565905 PECOS PAC ID: 2163866567 Enrollment ID: I20240213003930 |
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