Provider Demographics
NPI:1740648104
Name:LITTERELL, BEVERLY N (LPC)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:N
Last Name:LITTERELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532B N BROWN ST
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-3206
Mailing Address - Country:US
Mailing Address - Phone:918-257-0561
Mailing Address - Fax:
Practice Address - Street 1:532B N BROWN ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-3206
Practice Address - Country:US
Practice Address - Phone:918-257-0561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health