Healthcare Provider Details

I. General information

NPI: 1336708007
Provider Name (Legal Business Name): MARIA GISEL ARELLANO RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2488 E 81ST ST STE 485
TULSA OK
74137-4265
US

IV. Provider business mailing address

11415 S OXFORD AVE
TULSA OK
74137-7744
US

V. Phone/Fax

Practice location:
  • Phone: 918-932-1117
  • Fax:
Mailing address:
  • Phone: 918-630-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: