Healthcare Provider Details

I. General information

NPI: 1205745148
Provider Name (Legal Business Name): KATRINA PARKER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7623 E 126TH ST SUITE A
BIXBY OK
74008
US

IV. Provider business mailing address

5919 E 148TH ST S
BIXBY OK
74008-4255
US

V. Phone/Fax

Practice location:
  • Phone: 918-609-4902
  • Fax:
Mailing address:
  • Phone: 918-852-2114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: