Healthcare Provider Details

I. General information

NPI: 1093209660
Provider Name (Legal Business Name): PHELPS HELPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4870 S LEWIS AVE STE 190
TULSA OK
74105-5186
US

IV. Provider business mailing address

4870 S LEWIS AVE STE 190
TULSA OK
74105-5186
US

V. Phone/Fax

Practice location:
  • Phone: 918-742-3133
  • Fax:
Mailing address:
  • Phone: 918-742-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number966
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number454
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number860
License Number StateOK

VIII. Authorized Official

Name: CHERYL PHELPS
Title or Position: OWNER
Credential: LPC, LMFT, LSWA
Phone: 918-742-3133