Healthcare Provider Details

I. General information

NPI: 1528839800
Provider Name (Legal Business Name): YOSBELLI LORA B.S., MCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 OKLAHOMA AVE STE 4&5
WOODWARD OK
73801-4217
US

IV. Provider business mailing address

1915 OKLAHOMA AVE STE 4&5
WOODWARD OK
73801-4217
US

V. Phone/Fax

Practice location:
  • Phone: 405-530-2078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: