Provider Demographics
NPI:1639474679
Name:HELSLEY, DONALISA (LCSW)
Entity Type:Individual
Prefix:
First Name:DONALISA
Middle Name:
Last Name:HELSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DONALISA
Other - Middle Name:HERITAGE
Other - Last Name:HELSLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6216 S LEWIS AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1051
Mailing Address - Country:US
Mailing Address - Phone:918-933-4143
Mailing Address - Fax:918-938-6971
Practice Address - Street 1:6216 S LEWIS AVE STE 140
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1051
Practice Address - Country:US
Practice Address - Phone:918-933-4143
Practice Address - Fax:918-938-6971
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
OK49221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251B00000XAgenciesCase Management