Healthcare Provider Details

I. General information

NPI: 1659406999
Provider Name (Legal Business Name): JULIE BETH KNIGHT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 S HARVARD
TULSA OK
74114-3300
US

IV. Provider business mailing address

650 S PEORIA
TULSA OK
74120-4429
US

V. Phone/Fax

Practice location:
  • Phone: 918-712-4301
  • Fax: 918-712-3409
Mailing address:
  • Phone: 918-587-9471
  • Fax: 918-560-0137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2847
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: