Provider Demographics
NPI:1619485216
Name:MCADAMS, RAS WYITTE III (LPC)
Entity Type:Individual
Prefix:MR
First Name:RAS
Middle Name:WYITTE
Last Name:MCADAMS
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:TREY
Other - Middle Name:RAS
Other - Last Name:MCADAMS
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1202 W BIRMINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-3059
Mailing Address - Country:US
Mailing Address - Phone:539-222-8899
Mailing Address - Fax:
Practice Address - Street 1:1055 S HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9043
Practice Address - Country:US
Practice Address - Phone:918-921-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional