Provider Demographics
NPI:1790928703
Name:BARBEE, DIANA CAROL (BS, ICADC)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:CAROL
Last Name:BARBEE
Suffix:
Gender:F
Credentials:BS, ICADC
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:BUSH
Other - Last Name:BARBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED PRACTICAL N
Mailing Address - Street 1:7950 E. 41ST ST.
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145
Mailing Address - Country:US
Mailing Address - Phone:918-621-1600
Mailing Address - Fax:918-828-0155
Practice Address - Street 1:7950 E. 41ST. ST.
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145
Practice Address - Country:US
Practice Address - Phone:918-621-1600
Practice Address - Fax:918-828-0155
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK#37101YA0400X
OKL0021002164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No164W00000XNursing Service ProvidersLicensed Practical Nurse