Provider Demographics
NPI:1669723649
Name:PAREKH, RUPAL MAHENDRA (LCSW)
Entity type:Individual
Prefix:MS
First Name:RUPAL
Middle Name:MAHENDRA
Last Name:PAREKH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RUPAL
Other - Middle Name:MAHENDRA
Other - Last Name:PAREKH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:8216 E 75TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2922
Mailing Address - Country:US
Mailing Address - Phone:918-859-9897
Mailing Address - Fax:
Practice Address - Street 1:8216 E 75TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2922
Practice Address - Country:US
Practice Address - Phone:918-859-9897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4379-P103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst