Provider Demographics
NPI:1255699674
Name:LELAND, ANNA DARLANN (BA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:DARLANN
Last Name:LELAND
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6386 S 80TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4626
Mailing Address - Country:US
Mailing Address - Phone:918-351-3535
Mailing Address - Fax:
Practice Address - Street 1:130 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-1409
Practice Address - Country:US
Practice Address - Phone:539-664-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health