Provider Demographics
NPI:1457501702
Name:YWCA TULSA
Entity Type:Organization
Organization Name:YWCA TULSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ELSIE
Authorized Official - Last Name:COLLINS-CORREIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:918-587-2100
Mailing Address - Street 1:1910 S LEWIS AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5723
Mailing Address - Country:US
Mailing Address - Phone:918-587-2100
Mailing Address - Fax:918-587-0277
Practice Address - Street 1:1503 S DENVER AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-3828
Practice Address - Country:US
Practice Address - Phone:918-588-9393
Practice Address - Fax:918-588-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1177251S00000X
OK1549251S00000X
OK3545251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health