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BRENDA J TYSON SULLIVAN
NPI 1255673398
Counselor - Mental Health in Oklahoma City, OK

Active since March 26, 2013
11816 GWENDOLYN LN, OKLAHOMA CITY, OK 73131(405) 315-1939 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda J Tyson Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA J TYSON SULLIVAN (NPI 1255673398) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1255673398
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDA J TYSON SULLIVAN
Location Address11816 GWENDOLYN LNOklahoma City, OK 73131-4402
Mailing Address11816 Gwendolyn LnOklahoma City, OK 73131-4402 · (405) 315-1939
Phone(405) 315-1939
Sole ProprietorYes
Enumeration DateMarch 26, 2013
✔ NPI 1255673398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11816 GWENDOLYN LN, Oklahoma City, OK 73131
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Tyson Sullivan's NPI number?

The NPI number for Brenda Tyson Sullivan is 1255673398. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Brenda Tyson Sullivan located?

Brenda Tyson Sullivan practices at 11816 Gwendolyn Ln, Oklahoma City, OK 73131. The listed phone number is (405) 315-1939.

What is Brenda Tyson Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brenda Tyson Sullivan was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.