Provider Demographics
NPI:1134890577
Name:LOVEWORKS COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:LOVEWORKS COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BREDEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:539-286-3955
Mailing Address - Street 1:PO BOX 700814
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-0814
Mailing Address - Country:US
Mailing Address - Phone:539-286-3955
Mailing Address - Fax:
Practice Address - Street 1:2402 W ATLANTA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1009
Practice Address - Country:US
Practice Address - Phone:539-286-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty