Provider Demographics
NPI:1659624427
Name:DENSON, SAMMIE LEA (LMFT)
Entity Type:Individual
Prefix:
First Name:SAMMIE
Middle Name:LEA
Last Name:DENSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 W ASH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-4314
Mailing Address - Country:US
Mailing Address - Phone:580-860-2630
Mailing Address - Fax:580-786-4356
Practice Address - Street 1:1309 W ASH AVE STE 103
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4314
Practice Address - Country:US
Practice Address - Phone:580-860-2630
Practice Address - Fax:580-786-4356
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1261OtherLMFT LICENSURE NUMBER