MEDICARE: STEPHANIE RENEE EDWARDS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1871238238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE RENEE EDWARDS

Provider Business Mailing Address
First Line	:	6743 S ATLANTA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4302
Country	:	US
Telephone Number	:	918-264-5064
Fax Number	:

Provider Business Practice Location Address
First Line	:	6743 S ATLANTA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4302
Country	:	US
Telephone Number	:	918-264-5064
Fax Number	:

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

Provider Enumeration Date	:	04/30/2022
Last Update Date	:	04/30/2022

Similar Medicare Providers

1558296392 — CHRISTIE LYNN RATLIFF
Practice Location Address:

4922 E 73RD ST
TULSA, OK
74136-7007

Practice Phone: 918-340-6460
Practice Fax: 918-926-3376

1992637201 — JANIELLE AMAGNA
Practice Location Address:

7024 S SANDUSKY AVE
TULSA, OK
74136-4701

Practice Phone: 918-407-6012
Practice Fax:

1164092730 — MOHAMAD ALRIFAI DO
Practice Location Address:

6655 S YALE AVE
TULSA, OK
74136-3326

Practice Phone: 918-481-4000
Practice Fax:

1922150531 — DR. JAWAUN M. LEWIS D.O.
Practice Location Address:

6846 S CANTON AVE STE 230
TULSA, OK
74136-3420

Practice Phone: 405-541-1146
Practice Fax: 877-523-7555

1003741380 — ZAEEMAH MANSOOR
Practice Location Address:

6161 S YALE AVE
TULSA, OK
74136-1992

Practice Phone: 191-849-4220
Practice Fax:

1972117356 — MARY PRISCA ELEANYA LCSW
Practice Location Address:

6400 S LEWIS AVE STE 100
TULSA, OK
74136-1019

Practice Phone: 405-378-2727
Practice Fax:

Directions to “ STEPHANIE RENEE EDWARDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.