| Lourdes Counseling Services Llc | |
|
5200 S Yale Ave Ste 203 Tulsa OK 74135-7486 | |
| (918) 955-0335 | |
| Not Available |
| Full Name | Lourdes Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5200 S Yale Ave Ste 203, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ashley K Heatherman (OWNER/THERAPIST) |
| Authorized Official Contact | 9189550335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Counseling Services Llc 3607 S Florence Ave Tulsa OK 74105-3622 Ph: (918) 955-0335 | Lourdes Counseling Services Llc 5200 S Yale Ave Ste 203 Tulsa OK 74135-7486 Ph: (918) 955-0335 |
| NPI Number | 1437822335 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437822335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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