Organization
PRODIGY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOPE ROBERTS LPC (DIRECTOR)
(918) 456-8399
Entity
Organization
Contact information
Practice address
1024 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4734
(918) 456-8399
(918) 456-8773
Mailing address
PO BOX 1247, TAHLEQUAH, OK 74465-1247
(918) 456-8399
(918) 456-8773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
09/11/2025
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