Provider Demographics
NPI:1477191583
Name:LPC MENTAL HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:LPC MENTAL HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-721-3383
Mailing Address - Street 1:10601 S WESTERN AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-6215
Mailing Address - Country:US
Mailing Address - Phone:405-985-6969
Mailing Address - Fax:405-703-4429
Practice Address - Street 1:10601 S WESTERN AVE STE 117
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-6215
Practice Address - Country:US
Practice Address - Phone:405-985-6969
Practice Address - Fax:405-703-4429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty