Provider Demographics
NPI:1164523593
Name:ISKI, MISSY BEHRENTS (MA LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MISSY
Middle Name:BEHRENTS
Last Name:ISKI
Suffix:
Gender:F
Credentials:MA LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4825 SOUTH PEORIA
Mailing Address - Street 2:SUITE 7
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4555
Mailing Address - Country:US
Mailing Address - Phone:918-712-3226
Mailing Address - Fax:918-745-9670
Practice Address - Street 1:4825 SOUTH PEORIA
Practice Address - Street 2:SUITE 7
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-4555
Practice Address - Country:US
Practice Address - Phone:918-712-3226
Practice Address - Fax:918-745-9670
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK258LPC101YP2500X
OK131LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist