BETTY JACKSON COUNSELING SERVICES; NPI #1508178070

Contact Information

BETTY JACKSON COUNSELING SERVICES

4528 S SHERIDAN RD STE 117
TULSA, OK 74145-1140

Phone: 918-794-6570
Fax: 918-340-5189
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for BETTY JACKSON COUNSELING SERVICES

NPI # 1508178070

LBN Legal business name BETTY JACKSON COUNSELING SERVICES

Authorized official LATIA PARKER - (LIC BEHAVIORAL HEALTH PROFESSIONAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2010

Last updated 01/10/2012 - About 14 years ago

Identifiers

OK	License #	3343
OK	License #	659
OK	Medicaid	200232480A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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