Provider Demographics
NPI:1497123798
Name:TOELLE, STEVEN KYLE (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:KYLE
Last Name:TOELLE
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 NE 50TH STREET
Mailing Address - Street 2:CHOCTAW
Mailing Address - City:UNITED STATES
Mailing Address - State:OK
Mailing Address - Zip Code:73020
Mailing Address - Country:US
Mailing Address - Phone:580-660-0446
Mailing Address - Fax:
Practice Address - Street 1:14700 NE 50TH STREET
Practice Address - Street 2:CHOCTAW
Practice Address - City:UNITED STATES
Practice Address - State:OK
Practice Address - Zip Code:73020
Practice Address - Country:US
Practice Address - Phone:580-660-0446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6604101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional