DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLISA LEE

MEDICARE: ELLISA LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker8248OK
3101YM0800XMental Health Counselor6878OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215401708
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLISA LEE
Provider Business Mailing Address
First Line : 6700 EAGLES LNDG
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-1923
Country : US
Telephone Number : 405-209-7694
Fax Number :
Provider Business Practice Location Address
First Line : 4013 NW EXPRESSWAY STE 105
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-2618
Country : US
Telephone Number : 405-378-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2019
Last Update Date : 02/27/2023

Similar Medicare Providers

1326200437 — MARY KELLY MOORE LACKEY LPC
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-378-2727
Practice Fax:
1316258247 — MRS. TERESA BETH MILLER PA-C
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-378-2727
Practice Fax:
1114232782 — MS. CHERRI LEDBETTER
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-814-6661
Practice Fax:
1023380250 — ALISIA LEANNE DRENNAN M.ED, LPC
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-378-2727
Practice Fax:
1811554769 — EMILY ANNE SMITH LCSW
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-378-2727
Practice Fax:
1376196741 — MISS ZOE NICOLE GARCIA M.ED, LPC
Practice Location Address:
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK
73116-2618
Practice Phone: 405-378-2727
Practice Fax:

Directions to “ ELLISA LEE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.