Provider Demographics
NPI:1093082216
Name:PSYCHOTHERAPY SOLUTIONS OF TULSA LLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY SOLUTIONS OF TULSA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:539-664-6222
Mailing Address - Street 1:3026 S DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-5229
Mailing Address - Country:US
Mailing Address - Phone:918-607-0057
Mailing Address - Fax:
Practice Address - Street 1:3220 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2003
Practice Address - Country:US
Practice Address - Phone:539-664-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2477251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health