Individual
MRS. LYNLY D. GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3801 NW 63RD ST, OKLAHOMA CITY, OK 73116-1921
(918) 268-7295
Mailing address
314 N JASPER WAY, MUSTANG, OK 73064-2053
(405) 990-5590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12264
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/07/2023
Last updated
05/08/2026
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