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WAYNETTA; FAYE KOIVISTO NPI 1316292667


NPI Information

NPI: 1316292667
Provider Name: WAYNETTA; FAYE KOIVISTO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3015 E SKELLY DR
SUITE 103
TULSA, OK
ZIP 74105
Phone: (918) 712-0859
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Waynetta; Faye Koivisto is a mental health counselor in Tulsa, OK. Waynetta; Faye Koivisto NPI is 1316292667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3015 E SKELLY DR
SUITE 103
TULSA, OK
ZIP 74105-317
Phone: (918) 712-0859
Fax: (918) 388-9708

The enumeration date for this NPI number is 7/23/2012 and was last updated on 7/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100746170 GMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.