Provider Demographics
NPI:1801295167
Name:MCELVEEN, NANCY LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LYNN
Last Name:MCELVEEN
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 1:1619 GREY FOX RUN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73131-1219
Mailing Address - Country:US
Mailing Address - Phone:405-818-4769
Mailing Address - Fax:
Practice Address - Street 1:1619 GREY FOX RUN
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-1219
Practice Address - Country:US
Practice Address - Phone:405-818-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4120101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor