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

Phyllis Elisha Waldrup

Individual provider Mental Health Counselor · NPI 1942717624

Phyllis Elisha Waldrup is a Mental Health Counselor in Catoosa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

19320 E Admiral Pl Ste B
Catoosa, OK 74015-3240
Phone: (550) 391-8340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1942717624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2018
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address5409 E Xyler St, Tulsa, OK 74115-3323

Other providers in Catoosa