Organization
FOUR DIRECTIONS PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LEFLORE PH.D (OWNER)
(918) 205-4797
Entity
Organization
Contact information
Practice address
5272 S LEWIS AVE # 277, TULSA, OK 74105-6544
(918) 205-4797
(866) 598-3110
Mailing address
5272 S LEWIS AVE # 277, TULSA, OK 74105-6544
(918) 205-4797
(866) 598-3110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1349
LICENSE
OK
01
—
1821386070
NPI
—
Enumeration date
08/10/2022
Last updated
09/01/2022
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