Organization
PREVAILING PASSIONS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK WOODBURY LPC (OWNER)
(479) 283-1016
Entity
Organization
Contact information
Practice address
10212 E 41ST ST, TULSA, OK 74146-3703
(918) 970-0028
Mailing address
11841 E 16TH ST, TULSA, OK 74128-5805
(479) 283-1016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/14/2019
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