Provider Demographics
NPI:1194079574
Name:FORTNEY, ROYALENA FRANCESCA
Entity type:Individual
Prefix:MS
First Name:ROYALENA
Middle Name:FRANCESCA
Last Name:FORTNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 S 87TH EAST PL
Mailing Address - Street 2:APARTMENT 201
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7916
Mailing Address - Country:US
Mailing Address - Phone:918-951-8123
Mailing Address - Fax:918-749-2150
Practice Address - Street 1:1888 E 15TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4611
Practice Address - Country:US
Practice Address - Phone:918-951-8123
Practice Address - Fax:918-749-2150
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor