<Unavail>

LBN: Carrie F Short
<Unavail> is an health care organization with primary practice located at 6202 S Lewis Ave Suite A, Tulsa OK 74136-1099. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Carrie F Short can be contacted via phone (918) 742-1275, or through Short, Carrie F via phone (918) 742-1275.

Contact Information

Primary practice address
6202 S Lewis Ave Suite A Tulsa OK 74136-1099
Phone: (918) 742-1275
Fax: (918) 742-7020
Website:
Map and Directions
Authorized official contact:
Name: Short, Carrie F Licensed Clinical Social Worker (LCSW)
Phone: (918) 742-1275

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1277 Oklahoma

Profile Details

NPI number 1558621565
LBN Legal business name Carrie F Short
DBA Doing business as <Unavail>
Authorized official Short, Carrie F Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558621565 NPPES
Oklahoma MEDICAID 200199870B

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