Healthcare Provider Details

I. General information

NPI: 1326960485
Provider Name (Legal Business Name): HEART THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 E 21ST ST
TULSA OK
74114-1409
US

IV. Provider business mailing address

2139 E 21ST ST
TULSA OK
74114-1409
US

V. Phone/Fax

Practice location:
  • Phone: 918-308-1950
  • Fax: 539-399-7553
Mailing address:
  • Phone: 918-308-1950
  • Fax: 539-399-7553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA MEYERS-ELLETT
Title or Position: OWNER
Credential: PHD,LPC-S,RPT
Phone: 918-308-1950