Healthcare Provider Details

I. General information

NPI: 1952068561
Provider Name (Legal Business Name): TALK IT OUT THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S COLUMBIA AVE STE 580
TULSA OK
74114-3519
US

IV. Provider business mailing address

118 E 54TH PL
TULSA OK
74105-6730
US

V. Phone/Fax

Practice location:
  • Phone: 918-982-6524
  • Fax:
Mailing address:
  • Phone: 918-497-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JORDAN LINDSEY BRACHT
Title or Position: OWNER/THERAPIST
Credential: MSW, LCSW
Phone: 918-497-7500