Provider Demographics
NPI:1144551714
Name:FRITTS WINKLER, MELISSA GAIL (MS; LMFT)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:GAIL
Last Name:FRITTS WINKLER
Suffix:
Gender:F
Credentials:MS; LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 826
Mailing Address - Street 2:
Mailing Address - City:PAULS VALLEY
Mailing Address - State:OK
Mailing Address - Zip Code:73075-0826
Mailing Address - Country:US
Mailing Address - Phone:580-695-5525
Mailing Address - Fax:405-926-2089
Practice Address - Street 1:513 S WILLOW ST STE 6
Practice Address - Street 2:
Practice Address - City:PAULS VALLEY
Practice Address - State:OK
Practice Address - Zip Code:73075-3849
Practice Address - Country:US
Practice Address - Phone:580-695-5525
Practice Address - Fax:450-926-2089
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1147106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100734740-FMedicaid