Provider Demographics
NPI:1033150578
Name:WORLEY, CARLA SUE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:SUE
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:SUE
Other - Last Name:GARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:RR 2 BOX 205
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960
Mailing Address - Country:US
Mailing Address - Phone:918-575-0687
Mailing Address - Fax:
Practice Address - Street 1:RR 2
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960
Practice Address - Country:US
Practice Address - Phone:918-575-0687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health