Organization
LEMON TREE GROVE THERAPY CLINIC OF SOUTH TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TYLER OWENS (EXECUTIVE DIRECTOR)
(539) 240-4735
Entity
Organization
Contact information
Practice address
8252 S HARVARD AVE STE 151, TULSA, OK 74137-1646
(918) 924-5058
Mailing address
8252 S HARVARD AVE STE 151, TULSA, OK 74137-1646
(918) 924-5058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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