SKYLAR SOUTHALL


Address: 11740 E 21st St, Tulsa, OK 74129-1820
Phone: 9185879471

SKYLAR SOUTHALL (NPI# 1306240395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306240395
Entity Type Individual
Full Name SKYLAR SOUTHALL
Practice Address 11740 E 21st St
Tulsa
OK 74129-1820
Mailing Address 650 S. Peoria
Tulsa
OK 74120-4429
Practice Telephone 9185879471
Mailing Telephone 9185879471
Mailing Fax Number 9185601399
Enumeration Date 2014-10-20
Last Update Date 2014-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 11740 E 21ST ST
City TULSA
State OK
Zip Code 74129-1820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427190032 Erica Nicol Campbell Social Worker 11740 E 21st St, Tulsa, OK 74129-1820 2007-02-12
1679107882 Ngin Dot Cing Specialist 11740 E 21st St, Tulsa, OK 74129-1820 2020-02-26
1174153316 Sonia Marie Krochak Case Manager/Care Coordinator 11740 E 21st St, Tulsa, OK 74129-1820 2020-01-15
1063052629 Abigail Mohr Case Manager/Care Coordinator 11740 E 21st St, Tulsa, OK 74129-1820 2020-01-13
1306482542 Krashelle Renae Cuffy Counselor 11740 E 21st St, Tulsa, OK 74129-1820 2019-11-22
1760025787 China Lynn Bishop Counselor 11740 E 21st St, Tulsa, OK 74129-1820 2019-10-22
1114560349 Shelby Hays Boaz Social Worker 11740 E 21st St, Tulsa, OK 74129-1820 2019-10-21
1174165658 Kelsey Lynn Foster Health Educator 11740 E 21st St, Tulsa, OK 74129-1820 2019-10-16
1134760127 Samantha Mckay Social Worker 11740 E 21st St, Tulsa, OK 74129-1820 2019-10-01
1083264238 Dawn M Martin Counselor 11740 E 21st St, Tulsa, OK 74129-1820 2019-09-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114405594 Go2therapy LLC Counselor 6931 E 31st Street, Unit 31, Tulsa, OK 74129 2018-07-30
1417472259 Brooke Javon Denton Physician Assistant 2924 S. 98th East Ave, Tulsa, OK 74129 2017-08-12
1952459489 Cleartone Hearing Aid Laboratories Inc Hearing Instrument Specialist 2323 South Sheridan, Tulsa, OK 74129 2007-01-08
1407879422 Lonnie F Morris Psychiatry & Neurology 2316 S. Garnett, Suite E, Tulsa, OK 74129 2006-07-25
1902876360 Carla Jean Pohl Advanced Practice Midwife 2815 S Sheridan Rd, Tulsa, OK 74129 2006-01-26
1225575772 Leisa Ann Bausch Behavioral Analyst 11740 E 21st, Tulsa, OK 74129 2017-01-23
1013980499 Christie Anne Huffman Dietitian, Registered 2815 S Sheridan Rd, Tulsa, OK 74129 2006-02-08
1821060716 Bernard James Maguire Jr. Pediatrics 2815 S Sheridan Rd, Tulsa, OK 74129 2006-02-03
1164494050 Issam Mohammed El Halabi Pediatrics 2815 S Sheridan Rd, Tulsa, OK 74129 2006-02-03
1467755371 Dental Depot of Tulsa Dentist 2145 S Sheridan Rd, Tulsa, OK 74129-1001 2010-12-15
Find all providers in zip 74129

Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972164960 Amanda Shantel Myers Social Worker 1920 S Cincinnati Ave, Tulsa, OK 74119-5228 2019-06-21
1073987467 Jo Lowe Social Worker 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 2015-11-23
1851763403 Tanya Cannady Social Worker 3101 W Edison St, Tulsa, OK 74127-6000 2015-10-22
1881072262 Marlana Joy Brown Social Worker 4040 N Elgin Ave, Tulsa, OK 74106-1517 2015-05-18
1063828945 Jasmine Porter Social Worker 733 E 53rd St N, Tulsa, OK 74126-2747 2014-07-10
1508497827 Samantha Faulkner Social Worker 1608 S Elwood Ave, Tulsa, OK 74119-4208 2020-01-27
1710538624 Zachary Osburn Social Worker 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 2019-09-23
1255721379 Lakesha Willis Social Worker 3015 E Skelly Dr, Tulsa, OK 74105-6317 2015-01-27
1043609936 Sara Griffey Social Worker 11740 E 21st St, Tulsa, OK 74129-1820 2015-01-15
1871981324 Alexis Yazel Social Worker 11740 E 21st St, Tulsa, OK 74129-1820 2015-01-07
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74129

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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