MEDICARE: TERRI BYRNS-DONAHOO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		OK
2	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	UNKNOWN	OTHER	OK	UNKNOWN

General Provider Information

NPI Number	:	1871211771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI BYRNS-DONAHOO

Provider Business Mailing Address
First Line	:	1061 PRUITT DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5647
Country	:	US
Telephone Number	:	405-808-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 PRUITT DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5647
Country	:	US
Telephone Number	:	405-808-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	10/21/2025

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Directions to “ TERRI BYRNS-DONAHOO ” Practice Location

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