Healthcare Provider Details

I. General information

NPI: 1710985064
Provider Name (Legal Business Name): LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 S YALE AVE
TULSA OK
74136-3326
US

IV. Provider business mailing address

PO BOX 707001
TULSA OK
74170-7001
US

V. Phone/Fax

Practice location:
  • Phone: 918-481-4000
  • Fax:
Mailing address:
  • Phone: 918-502-8000
  • Fax: 918-502-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateOK

VIII. Authorized Official

Name: ANDRIA STOLHAND
Title or Position: DIRECTOR, PATIENT FINANCIAL SERVICE
Credential:
Phone: 918-502-8000