Provider Demographics
NPI:1497178891
Name:LET'S TALK, LLC
Entity type:Organization
Organization Name:LET'S TALK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:918-957-1111
Mailing Address - Street 1:2604 W. KENOSHA
Mailing Address - Street 2:STE 217
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012
Mailing Address - Country:US
Mailing Address - Phone:918-957-1111
Mailing Address - Fax:918-957-1211
Practice Address - Street 1:2604 W. KENOSHA
Practice Address - Street 2:STE. 217
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012
Practice Address - Country:US
Practice Address - Phone:918-957-1111
Practice Address - Fax:918-957-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4769251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health