# TALKING LEAVES JOB CORPS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770937229
- **Authorized official:** MR. JAY LITTLEJOHN (CENTER DIRECTOR)
- **Authorized official phone:** (918) 207-3301

## Contact information

- **Practice address:** 5700 BALD HILL ROAD, TAHLEQUAH, OK 74465-1066
- **Practice address phone:** (918) 456-9959
- **Practice address fax:** (918) 207-3499
- **Mailing address:** PO BOX 1066, 5700 BALD HILL ROAD, TAHLEQUAH, OK 74465-1066
- **Mailing address phone:** (918) 456-9959
- **Mailing address fax:** (918) 207-3499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 197 | OK | — |
| 122300000X | Dentist | 4359 | OK | — |
| 207Q00000X | Family Medicine Physician | 14708 | OK | Yes |
| 363LF0000X | Family Nurse Practitioner | 74414 | OK | — |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 04/21/2016