| Organization Name: | WESTSIDE COUNSELING AND CONSULTING |
| NPI Number: | 1386084580 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEISA CARROL ROBERTS (OWNER/DIRECTOR) |
| Mailing Address: | 574 Brush Creek Road Sand Springs |
| State: | OK US |
| Postal Code: | 740630493 |
| Phone Number: | 9183848649 |
| Fax Number: | 9182458118 |
| NPI Enumeration Date: | 07/02/2013 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |