Provider Demographics
NPI:1083155642
Name:BELINDA G. CROSIER, PLLC
Entity Type:Organization
Organization Name:BELINDA G. CROSIER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LADC
Authorized Official - Phone:405-203-9551
Mailing Address - Street 1:152 DEER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-9317
Mailing Address - Country:US
Mailing Address - Phone:405-203-9551
Mailing Address - Fax:405-242-2118
Practice Address - Street 1:4117 NW 122ND ST
Practice Address - Street 2:SUITE C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8869
Practice Address - Country:US
Practice Address - Phone:405-203-9551
Practice Address - Fax:405-242-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC 2542251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health