Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Glen Michael Baisley, LPC

Individual provider Professional Counselor · NPI 1366800344

Mr. Glen Michael Baisley, LPC is a Professional Counselor in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4830 S 67th East Ave
Tulsa, OK 74145-5838
Phone: (918) 734-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4835 (OK)

Record details

NPI number1366800344
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 4, 2016
Last updated in NPPESFebruary 4, 2016

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