Healthcare Provider Details

I. General information

NPI: 1568376457
Provider Name (Legal Business Name): SUMMER LASHLEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E 15TH ST STE 103
EDMOND OK
73013-5041
US

IV. Provider business mailing address

1300 E 15TH ST STE 103
EDMOND OK
73013-5041
US

V. Phone/Fax

Practice location:
  • Phone: 405-664-1160
  • Fax:
Mailing address:
  • Phone: 405-664-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUMMER LASHLEY
Title or Position: OWNER
Credential: LPC
Phone: 405-664-1160