Provider Demographics
NPI:1295497592
Name:POWERS, DESHIA R (LPC)
Entity type:Individual
Prefix:
First Name:DESHIA
Middle Name:R
Last Name:POWERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 WOOD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3689
Mailing Address - Country:US
Mailing Address - Phone:405-820-7281
Mailing Address - Fax:405-310-2081
Practice Address - Street 1:1181 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5331
Practice Address - Country:US
Practice Address - Phone:405-364-0333
Practice Address - Fax:405-364-0342
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional