Individual provider · Type 1 NPI

Elijah Moss, LPC CANDIDATE

Mental Health Counselor · Tulsa, OK

NPI number 1407738735 Active

Practice location

4845 S Sheridan Rd Ste 509
Tulsa, OK 74145-5719

Call (405) 208-4469 Map

Mailing address

1502 N 81st St
Broken Arrow, OK 74014-7453

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCCANDIDATE12861 (OK)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1407738735

Elijah Moss, LPC CANDIDATE's National Provider Identifier is 1407738735, issued on Jul 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jul 25, 2025.