NPI Code Details Logo

NPI 1538889506

NPI 1538889506 : BAYLEIGH FARNSWORTH : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538889506
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BAYLEIGH FARNSWORTH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/30/2022
-----------------------------------------------------
    Last Update Date     |    09/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    650 S PEORIA AVE 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74120-4429
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-587-9471
-----------------------------------------------------
    Fax                  |    918-560-1399
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    865 N COUNTRY MEADOW LN 
-----------------------------------------------------
    City                 |    SKIATOOK
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74070-4009
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-361-8574
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.