Healthcare Provider Details

I. General information

NPI: 1881502110
Provider Name (Legal Business Name): COLIBRI COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 E 53RD ST STE 101
TULSA OK
74105-6600
US

IV. Provider business mailing address

PO BOX 189
GLENPOOL OK
74033-0189
US

V. Phone/Fax

Practice location:
  • Phone: 405-612-4321
  • Fax:
Mailing address:
  • Phone: 405-612-4321
  • 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: RUTH CHAPMAN
Title or Position: OWNER/OWNER
Credential: LCSW
Phone: 405-612-4321