Provider Demographics
NPI:1700318953
Name:CARING HEARTS PROFESSIONAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:CARING HEARTS PROFESSIONAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:V
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LBHP
Authorized Official - Phone:918-409-9763
Mailing Address - Street 1:6390 E. 31ST STREET
Mailing Address - Street 2:SUITE I
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135
Mailing Address - Country:US
Mailing Address - Phone:918-409-9763
Mailing Address - Fax:
Practice Address - Street 1:6390 E 31ST ST
Practice Address - Street 2:SUITE I
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5478
Practice Address - Country:US
Practice Address - Phone:918-409-9763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5154251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health