Provider Demographics
NPI:1720741283
Name:SEVEN RIVERS COUNSELING, LLC
Entity Type:Organization
Organization Name:SEVEN RIVERS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, RPT, NCC
Authorized Official - Phone:918-520-7022
Mailing Address - Street 1:PO BOX 702158
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-2158
Mailing Address - Country:US
Mailing Address - Phone:918-520-7022
Mailing Address - Fax:
Practice Address - Street 1:6440 S LEWIS AVE STE 2000
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1043
Practice Address - Country:US
Practice Address - Phone:918-520-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)