Provider Demographics
NPI:1568792851
Name:EASY SCREENING, INC.
Entity Type:Organization
Organization Name:EASY SCREENING, INC.
Other - Org Name:SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:K
Authorized Official - Middle Name:CHERENE
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNS
Authorized Official - Phone:918-728-7123
Mailing Address - Street 1:PO BOX 701914
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-1914
Mailing Address - Country:US
Mailing Address - Phone:918-728-7123
Mailing Address - Fax:888-818-4957
Practice Address - Street 1:5662 S YORKTOWN PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6118
Practice Address - Country:US
Practice Address - Phone:918-728-7123
Practice Address - Fax:888-818-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty