Provider Demographics
NPI:1659135176
Name:LIVE OAK PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:LIVE OAK PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURINAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-766-9871
Mailing Address - Street 1:2295 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4612
Mailing Address - Country:US
Mailing Address - Phone:512-239-8688
Mailing Address - Fax:
Practice Address - Street 1:3701 MISTY CREEK DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-1488
Practice Address - Country:US
Practice Address - Phone:512-766-9871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health