Healthcare Provider Details

I. General information

NPI: 1366808230
Provider Name (Legal Business Name): DRUE DAY MS, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 E 21ST ST STE 320
TULSA OK
74114-1351
US

IV. Provider business mailing address

1560 E 21ST ST STE 320
TULSA OK
74114-1351
US

V. Phone/Fax

Practice location:
  • Phone: 918-609-0404
  • Fax: 918-340-6799
Mailing address:
  • Phone: 918-609-0404
  • Fax: 918-340-6799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number7673
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7673
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: