Healthcare Provider Details

I. General information

NPI: 1912829680
Provider Name (Legal Business Name): CHRISTY PHELPS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MCGEE DR STE 142A
NORMAN OK
73072-6705
US

IV. Provider business mailing address

3212 POCASSET CIR
NORMAN OK
73071-7160
US

V. Phone/Fax

Practice location:
  • Phone: 405-928-8004
  • Fax:
Mailing address:
  • Phone: 405-595-1466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12628
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: