Healthcare Provider Details

I. General information

NPI: 1043585367
Provider Name (Legal Business Name): MOLLY HEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 E SKELLY DR
TULSA OK
74135-6100
US

IV. Provider business mailing address

6111 E SKELLY DR
TULSA OK
74135-6100
US

V. Phone/Fax

Practice location:
  • Phone: 918-924-8435
  • Fax:
Mailing address:
  • Phone: 918-924-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: