Organization
EMPOWERED LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISA JOHNSON LPC (OWNER/THERAPIST)
(918) 991-5538
Entity
Organization
Contact information
Practice address
5800 E SKELLY DR, SUITE 105, TULSA, OK 74135-6471
(918) 991-5538
(918) 271-5065
Mailing address
5800 E SKELLY DR, SUITE 105, TULSA, OK 74135-6471
(918) 991-5538
(918) 271-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5181
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200431990A
—
OK
Enumeration date
05/27/2015
Last updated
05/27/2015
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