Healthcare Provider Details

I. General information

NPI: 1124400635
Provider Name (Legal Business Name): KEYS FOR HOPE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2015
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14020 N WESTERN AVE
EDMOND OK
73013-1977
US

IV. Provider business mailing address

14020 N WESTERN AVE
EDMOND OK
73013-1977
US

V. Phone/Fax

Practice location:
  • Phone: 405-822-7844
  • Fax: 405-493-6760
Mailing address:
  • Phone: 405-822-7844
  • Fax: 405-493-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1206
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1206
License Number StateOK

VIII. Authorized Official

Name: DR. TAMARA TROWER
Title or Position: OWNER/PSYCHOLOGIST
Credential: PHD
Phone: 405-822-7844