Healthcare Provider Details

I. General information

NPI: 1447696869
Provider Name (Legal Business Name): MS. ROZENA LOUISE CURRIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 E VIRGIN ST
TULSA OK
74106-5526
US

IV. Provider business mailing address

1606 E. VIRGIN
TULSA OK
74106
US

V. Phone/Fax

Practice location:
  • Phone: 918-583-8312
  • Fax:
Mailing address:
  • Phone: 918-583-8312
  • Fax:

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:
Title or Position:
Credential:
Phone: