Healthcare Provider Details

I. General information

NPI: 1851628168
Provider Name (Legal Business Name): DEBRA MASSEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E WASHINGTON AVE
MCALESTER OK
74501-4919
US

IV. Provider business mailing address

1101 E WASHINGTON AVE 1101 E WASHINGTON AVE
MCALESTER OK
74501-4919
US

V. Phone/Fax

Practice location:
  • Phone: 918-420-5006
  • Fax:
Mailing address:
  • Phone: 918-420-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6521
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: