Healthcare Provider Details

I. General information

NPI: 1003505728
Provider Name (Legal Business Name): ARIN ALLEN ANDREWS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 E 25TH PL
TULSA OK
74114-3728
US

IV. Provider business mailing address

244 OAK BLUFF RD
CATOOSA OK
74015-2310
US

V. Phone/Fax

Practice location:
  • Phone: 918-740-7332
  • Fax:
Mailing address:
  • Phone: 918-740-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCCANDIDATE12395
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: