Provider Demographics
NPI:1043489719
Name:VEKAS, MISTI KAYE (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MISTI
Middle Name:KAYE
Last Name:VEKAS
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11051 S MEMORIAL DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7364
Mailing Address - Country:US
Mailing Address - Phone:918-369-9505
Mailing Address - Fax:
Practice Address - Street 1:11051 S MEMORIAL DR
Practice Address - Street 2:SUITE 206
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7364
Practice Address - Country:US
Practice Address - Phone:918-369-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional