Provider Demographics
NPI:1881947356
Name:PHILP CONSULTING GROUP, INC.
Entity type:Organization
Organization Name:PHILP CONSULTING GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:PERRY
Authorized Official - Last Name:PHILP
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-398-7678
Mailing Address - Street 1:1201 E 33RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2017
Mailing Address - Country:US
Mailing Address - Phone:918-398-7678
Mailing Address - Fax:
Practice Address - Street 1:1201 E 33RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2017
Practice Address - Country:US
Practice Address - Phone:918-398-7678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4738251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health