Healthcare Provider Details

I. General information

NPI: 1144422122
Provider Name (Legal Business Name): DEBORAH JOAN MOREY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2007
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13216 KNIGHT ISLAND DR
OKLAHOMA CITY OK
73142-8608
US

IV. Provider business mailing address

13216 KNIGHT ISLAND DR
OKLAHOMA CITY OK
73142-8608
US

V. Phone/Fax

Practice location:
  • Phone: 580-305-0939
  • Fax:
Mailing address:
  • Phone: 580-305-0939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2935
License Number StateOK

VIII. Authorized Official

Name: DEBBIE MOREY
Title or Position: CEO
Credential: LPC
Phone: 580-305-0939