Provider Demographics
NPI:1932326337
Name:MITTS, PAT LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAT
Middle Name:LEE
Last Name:MITTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 E SKELLY DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6241
Mailing Address - Country:US
Mailing Address - Phone:918-636-5976
Mailing Address - Fax:918-396-2061
Practice Address - Street 1:2725 E SKELLY DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6241
Practice Address - Country:US
Practice Address - Phone:918-636-5976
Practice Address - Fax:918-396-1178
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK38411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical