Healthcare Provider Details

I. General information

NPI: 1609080217
Provider Name (Legal Business Name): FAMILY & CHILDREN'S SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S PEORIA
TULSA OK
74120-4429
US

IV. Provider business mailing address

650 S PEORIA
TULSA OK
74120-4429
US

V. Phone/Fax

Practice location:
  • Phone: 918-587-9471
  • Fax: 918-560-1399
Mailing address:
  • Phone: 918-587-9471
  • Fax: 918-560-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ANN JENKINS
Title or Position: CHIEF CLINICAL SERVICES OFFICER
Credential: LPC, LMFT
Phone: 918-991-6650