Leotha Blanchard
Counselor • Tulsa, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leotha Blanchard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Leotha Blanchard was a registered Counselor practicing in Tulsa, OK. Throughout an active medical career spanning 5 years, Leotha Blanchard provided care at the practice location at 5555 S LEWIS AVE until profile deactivation on 2019-05-06.
Practice Location & Contact Primary Location
5555 S Lewis Ave
Tulsa, OK 741057104
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Tulsa, OK
Practicing in Tulsa, OK (4611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
BSED
Counselor - Mental Health
Social Worker
Master of Social Work
Counselor
Counselor - Mental Health
Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 06, 2019
NPI status registered as active in NPPES database
Registered at 5555 S LEWIS AVE, TULSA, OK 741057104 (Tel: 9187794556)
Registered at 3425 E TRENTON ST, BROKEN ARROW, OK 740148856
Recorded as LEOTHA BLANCHARD
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3425 E Trenton St
Broken Arrow, OK 740148856
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