Provider Demographics
NPI:1932433521
Name:FRIEND, JOY (LCSW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:FRIEND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8321 E 61ST ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1913
Mailing Address - Country:US
Mailing Address - Phone:918-369-4951
Mailing Address - Fax:918-369-4951
Practice Address - Street 1:10310 N 138TH EAST AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4604
Practice Address - Country:US
Practice Address - Phone:918-609-5656
Practice Address - Fax:918-609-8378
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100746170GMedicaid