Healthcare Provider Details

I. General information

NPI: 1952255804
Provider Name (Legal Business Name): LOVE FOSTERING HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23779 BRAZIL CREEK LOOP
SHADY POINT OK
74956-2028
US

IV. Provider business mailing address

PO BOX 474
SHADY POINT OK
74956-0474
US

V. Phone/Fax

Practice location:
  • Phone: 918-963-5683
  • Fax:
Mailing address:
  • Phone: 918-963-5683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: HANNAH LYNCH
Title or Position: BEHAVIOR HEALTH PRACTITIONER
Credential: LPC, LADC/MH
Phone: 918-413-1371