Provider Demographics
NPI:1770829194
Name:LEE, PAULA T (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:T
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4022 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2745
Mailing Address - Country:US
Mailing Address - Phone:918-749-3719
Mailing Address - Fax:800-260-7966
Practice Address - Street 1:2448 E 81ST ST
Practice Address - Street 2:SUITE 5125
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4250
Practice Address - Country:US
Practice Address - Phone:918-392-7875
Practice Address - Fax:800-260-7966
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11974106H00000X
OK225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor