Organization
TULSA FAMILY PSYCHIATRY & WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT M FISHER MHA (CEO)
(918) 268-9578
Entity
Organization
Contact information
Practice address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854
Mailing address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285640102
NPI
OK
05
—
200001630A
—
OK
Enumeration date
03/26/2019
Last updated
02/09/2024
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