Provider Demographics
NPI:1871284521
Name:CEDAR TREE COUNSELING OF OKLAHOMA
Entity type:Organization
Organization Name:CEDAR TREE COUNSELING OF OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-771-4049
Mailing Address - Street 1:10026A S MINGO RD STE 271
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5700
Mailing Address - Country:US
Mailing Address - Phone:918-400-9144
Mailing Address - Fax:918-400-9144
Practice Address - Street 1:6226 E 101ST ST STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7117
Practice Address - Country:US
Practice Address - Phone:918-400-9144
Practice Address - Fax:918-400-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty