Provider Demographics
NPI:1336243427
Name:HOLDERNESS, STUART L (PHD LPC LMFT CADC)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:L
Last Name:HOLDERNESS
Suffix:
Gender:M
Credentials:PHD LPC LMFT CADC
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Mailing Address - Street 1:7151 SOUTH BRADEN AVE
Mailing Address - Street 2:DR STUART HOLDERNESS & ASSOCIATES
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-499-0300
Mailing Address - Fax:918-499-0357
Practice Address - Street 1:7151 SOUTH BRADEN AVE
Practice Address - Street 2:DR STUART HOLDERNESS & ASSOCIATES
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-499-0300
Practice Address - Fax:918-499-0357
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK579101YA0400X
OK1087101YP2500X
OK317106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist