Provider Demographics
NPI:1689862823
Name:OWINGS, MICHELE LYNN (MSW)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:OWINGS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:OWINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1756 W WILEY ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-2441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1414 N KENNEDY AVE
Practice Address - Street 2:STE 111 DOCTOR'S BLDG
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-4700
Practice Address - Country:US
Practice Address - Phone:405-878-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health