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Organization

BEHAVIORAL HEALTH AFFILIATES OF TULSA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANET WILLIS PH.D. (PRESIDENT)
(918) 488-6165
Entity
Organization

Contact information

Practice address
7146 S BRADEN AVE, SUITE 500, TULSA, OK 74136-6371
(918) 488-6165
Mailing address
7146 S BRADEN AVE, SUITE 500, TULSA, OK 74136-6371
(918) 488-6165

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
566
OK
1041C0700X
Clinical Social Worker
1600
OK

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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