Individual
HOLLEY MICHELLE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5634 E 78TH PL, TULSA, OK 74136-8413
(432) 254-9450
(832) 626-3028
Mailing address
5634 E 78TH PL, TULSA, OK 74136-8413
(432) 254-9450
(832) 626-3028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0782
OK
101YP2500X
Professional Counselor
73702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
NONE
—
Enumeration date
12/13/2017
Last updated
07/08/2025
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