Healthcare Provider Details

I. General information

NPI: 1174388623
Provider Name (Legal Business Name): KARA J. BARTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W 41ST ST STE D
SAND SPRINGS OK
74063-2726
US

IV. Provider business mailing address

1 W 41ST ST STE D
SAND SPRINGS OK
74063-2726
US

V. Phone/Fax

Practice location:
  • Phone: 918-853-4308
  • Fax: 918-514-0133
Mailing address:
  • Phone: 918-853-4308
  • Fax: 918-514-0133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KARA JADE BARTON
Title or Position: OWNER
Credential: LCSW
Phone: 191-885-3430