Provider Demographics
NPI:1902103906
Name:LAU, EMILY DENEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:DENEE
Last Name:LAU
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:DENEE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1334 NORTH LANSING AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106
Mailing Address - Country:US
Mailing Address - Phone:918-295-9388
Mailing Address - Fax:918-295-9389
Practice Address - Street 1:1334 NORTH LANSING AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106
Practice Address - Country:US
Practice Address - Phone:918-295-9388
Practice Address - Fax:918-295-9389
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5601101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200358580BMedicaid