Provider Demographics
NPI:1225911845
Name:ELM TREE COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:ELM TREE COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SUFFRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MSSA, LCSW
Authorized Official - Phone:405-905-8156
Mailing Address - Street 1:2613 N COUNCIL AVE
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-8027
Mailing Address - Country:US
Mailing Address - Phone:405-905-8156
Mailing Address - Fax:
Practice Address - Street 1:2613 N COUNCIL AVE
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-8027
Practice Address - Country:US
Practice Address - Phone:405-905-8156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty