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MYKELAH FRAISE
NPI 1295517258
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tulsa, OK

Active since October 16, 2023
1728 S CARSON AVE, TULSA, OK 74119(918) 406-3420 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mykelah Fraise NPPES

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

MYKELAH FRAISE (NPI 1295517258) is an individual mental health (including community mental health center) provider in Tulsa, Oklahoma and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1295517258
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameMYKELAH FRAISE
Location Address1728 S CARSON AVETulsa, OK 74119-4610
Mailing Address1728 S Carson AveTulsa, OK 74119-4610
Phone(918) 406-3420
Sole ProprietorYes
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1295517258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1728 S CARSON AVE, Tulsa, OK 74119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY RAYMOND RHODES JR. MA, MS, MMFT, DMIN
Marriage & Family Therapist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
JIMMY DEAN HARJO JR.
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
MS. CINDY B SMITH M.S., L.P.C.
Counselor (Mental Health)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 816-1149
MR. CORY RAY THACKERAY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 946-1209
JOI-MICHELLE RHODES MSW
Social Worker (Clinical)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 936-6127
JOHNNIE FAYE LOONEY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 859-7510
JOHN JASON TAYLOR
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 231-3887
ABRAXAS SCIENTIFIC
Clinical Medical Laboratory
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 917-4321

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 Mykelah Fraise's NPI number?

The NPI number for Mykelah Fraise is 1295517258. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Mykelah Fraise located?

Mykelah Fraise practices at 1728 S Carson Ave, Tulsa, OK 74119. The listed phone number is (918) 406-3420.

What is Mykelah Fraise's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mykelah Fraise was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.