Healthcare Provider Details

I. General information

NPI: 1205990074
Provider Name (Legal Business Name): COUNSELING & RECOVERY SERVICES OF OKLAHOMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 E 71ST ST
TULSA OK
74136-5045
US

IV. Provider business mailing address

1323 E 71ST ST
TULSA OK
74136-5045
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-2554
  • Fax: 918-494-9870
Mailing address:
  • Phone: 918-492-2554
  • Fax: 918-477-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE TAYLOR
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 918-935-2551