Provider Demographics
NPI:1740466127
Name:BLEVINS, TERRI BELL (MA)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:BELL
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 W MONTPELIER ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-0740
Mailing Address - Country:US
Mailing Address - Phone:918-809-1406
Mailing Address - Fax:918-561-8411
Practice Address - Street 1:1612 W MONTPELIER ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-0740
Practice Address - Country:US
Practice Address - Phone:918-809-1406
Practice Address - Fax:918-561-8411
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor