Healthcare Provider Details

I. General information

NPI: 1346179173
Provider Name (Legal Business Name): KATHLYNNE DEBORAH HAROLD GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLYNNE DEBORAH WESTERHEIDY

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 E 21ST ST STE 500
TULSA OK
74114-1723
US

IV. Provider business mailing address

2424 E 21ST ST STE 500
TULSA OK
74114-1723
US

V. Phone/Fax

Practice location:
  • Phone: 918-201-2116
  • Fax:
Mailing address:
  • Phone: 918-201-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: