MEDICARE: MRS. SHERRIS ANITA HARRIS-OSOSANYA MHR LPC

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
1	101YM0800X	Mental Health Counselor	2365	OK

General Provider Information

NPI Number	:	1740300797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRIS ANITA HARRIS-OSOSANYA MHR LPC

Provider Business Mailing Address
First Line	:	821 NE 32ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-7623
Country	:	US
Telephone Number	:	405-427-5209
Fax Number	:

Provider Business Practice Location Address
First Line	:	8828 NW 121ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1099
Country	:	US
Telephone Number	:	405-204-8719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	10/23/2024

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