Healthcare Provider Details

I. General information

NPI: 1104559129
Provider Name (Legal Business Name): CHELSEA RIAN TRUSTER MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4436 NW 50TH ST
OKLAHOMA CITY OK
73112-2212
US

IV. Provider business mailing address

4436 NW 50TH ST
OKLAHOMA CITY OK
73112-2212
US

V. Phone/Fax

Practice location:
  • Phone: 405-858-1753
  • Fax: 405-858-2889
Mailing address:
  • Phone: 405-858-1753
  • Fax: 405-858-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11131
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: