Provider Demographics
NPI:1417276452
Name:ANN CARWELL, PLLC
Entity Type:Organization
Organization Name:ANN CARWELL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-519-9337
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74067-0537
Mailing Address - Country:US
Mailing Address - Phone:918-519-9337
Mailing Address - Fax:
Practice Address - Street 1:5151 E 51ST ST STE 106
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7450
Practice Address - Country:US
Practice Address - Phone:918-519-9337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty