Provider Demographics
NPI:1679333231
Name:LAUREN B PARK , LLC
Entity Type:Organization
Organization Name:LAUREN B PARK , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:405-888-8167
Mailing Address - Street 1:2221 WESTPARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4071
Mailing Address - Country:US
Mailing Address - Phone:405-888-8167
Mailing Address - Fax:405-592-7839
Practice Address - Street 1:2221 WESTPARK DR STE C
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4071
Practice Address - Country:US
Practice Address - Phone:405-888-8167
Practice Address - Fax:405-592-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty