Healthcare Provider Details

I. General information

NPI: 1982339149
Provider Name (Legal Business Name): TZU HSIU (LUCY) HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date: 09/12/2024
Reactivation Date: 09/30/2024

III. Provider practice location address

6216 S LEWIS AVE
TULSA OK
74136-1044
US

IV. Provider business mailing address

5004 S URBANA AVE APT 1E
TULSA OK
74135-3406
US

V. Phone/Fax

Practice location:
  • Phone: 918-268-3690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCANDIDATE12359
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: