Healthcare Provider Details

I. General information

NPI: 1811049976
Provider Name (Legal Business Name): LYNNE B GELHAUS MS, LPC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N HIGH ST
ANTLERS OK
74523-2238
US

IV. Provider business mailing address

301 N HIGH ST
ANTLERS OK
74523-2238
US

V. Phone/Fax

Practice location:
  • Phone: 580-298-5779
  • Fax: 580-298-6699
Mailing address:
  • Phone: 580-298-5779
  • Fax: 580-298-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number199
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2441
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2441
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: