Provider Demographics
NPI:1053032037
Name:RODRIGUES, SUELEN MATOS
Entity type:Individual
Prefix:
First Name:SUELEN
Middle Name:MATOS
Last Name:RODRIGUES
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:SASSIN AND ASSOCIATES
Mailing Address - Street 2:2215 E 21ST STREET
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114
Mailing Address - Country:US
Mailing Address - Phone:918-949-4430
Mailing Address - Fax:
Practice Address - Street 1:8925 STATE HWY. 66
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74131
Practice Address - Country:US
Practice Address - Phone:918-277-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator