Provider Demographics
NPI:1699927145
Name:WALENCIAK, ABBY LYNN HELMAN (LPC, LADC)
Entity type:Individual
Prefix:MS
First Name:ABBY
Middle Name:LYNN HELMAN
Last Name:WALENCIAK
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:LYNN
Other - Last Name:HELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LADC
Mailing Address - Street 1:5310 E 31ST ST STE 600
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5018
Mailing Address - Country:US
Mailing Address - Phone:918-600-3671
Mailing Address - Fax:918-560-1350
Practice Address - Street 1:5310 E 31ST ST STE 600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5018
Practice Address - Country:US
Practice Address - Phone:918-600-3671
Practice Address - Fax:918-560-1350
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK852101YA0400X
OK4472101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator