Organization
OAKTREE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEPHENS LIVINGSTON III III (CHIEF EXECUTIVE OFFICER)
(405) 821-0897
Entity
Organization
Contact information
Practice address
116 W MAIN ST, NORMAN, OK 73069-1307
(405) 919-6821
(405) 360-1616
Mailing address
116 W MAIN ST, NORMAN, OK 73069-1307
(405) 919-6821
(405) 360-1616
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
200212700A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212700A
—
OK
Enumeration date
06/19/2008
Last updated
11/02/2010
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