Healthcare Provider Details

I. General information

NPI: 1356114888
Provider Name (Legal Business Name): EMBRACING YOU BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 S LEWIS AVE # A1
TULSA OK
74136-1099
US

IV. Provider business mailing address

6202 S LEWIS AVE STE 1
TULSA OK
74136-1099
US

V. Phone/Fax

Practice location:
  • Phone: 918-261-8934
  • Fax: 405-252-2013
Mailing address:
  • Phone: 918-261-8934
  • Fax: 405-252-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLYN THOMAS
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 918-261-8934