Provider Demographics
NPI:1003135575
Name:WINSTON, ELSIE NICOLE (MA,ED)
Entity Type:Individual
Prefix:MS
First Name:ELSIE
Middle Name:NICOLE
Last Name:WINSTON
Suffix:
Gender:F
Credentials:MA,ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 EASTRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73141-2226
Mailing Address - Country:US
Mailing Address - Phone:405-924-0848
Mailing Address - Fax:
Practice Address - Street 1:225 S WARDS CHAPEL
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-4104
Practice Address - Country:US
Practice Address - Phone:580-380-1844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor