Healthcare Provider Details

I. General information

NPI: 1003715954
Provider Name (Legal Business Name): ADAMY THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 EUCALYPTUS AVENUE SUITE 200
BROKEN ARROW OK
74012
US

IV. Provider business mailing address

1601 EUCALYPTUS AVENUE SUITE 200
BROKEN ARROW OK
74012
US

V. Phone/Fax

Practice location:
  • Phone: 918-328-3358
  • Fax:
Mailing address:
  • Phone: 918-328-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ADAMY
Title or Position: FOUNDER
Credential: LPC, LMHC
Phone: 918-328-3358