Provider Demographics
NPI:1811384068
Name:THE YOU PLACE, LLC
Entity Type:Organization
Organization Name:THE YOU PLACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:LUJAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-777-6045
Mailing Address - Street 1:117 E. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:BEGGS
Mailing Address - State:OK
Mailing Address - Zip Code:74421-2193
Mailing Address - Country:US
Mailing Address - Phone:918-777-6045
Mailing Address - Fax:
Practice Address - Street 1:117 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:BEGGS
Practice Address - State:OK
Practice Address - Zip Code:74421-2193
Practice Address - Country:US
Practice Address - Phone:918-777-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3909101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty