Provider Demographics
NPI:1114327962
Name:GATLIN, LEAH HELEN (MSW)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:HELEN
Last Name:GATLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 LEEDS LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1134
Mailing Address - Country:US
Mailing Address - Phone:405-223-2978
Mailing Address - Fax:
Practice Address - Street 1:203 HAL MULDROW DR
Practice Address - Street 2:SUITE 4
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5287
Practice Address - Country:US
Practice Address - Phone:405-217-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor