Provider Demographics
NPI:1528749447
Name:ADAMS PSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:ADAMS PSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICE PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-574-2836
Mailing Address - Street 1:1687 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-2302
Mailing Address - Country:US
Mailing Address - Phone:405-574-2836
Mailing Address - Fax:
Practice Address - Street 1:17935 N PENNSYLVANIA AVE STE 201
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-9288
Practice Address - Country:US
Practice Address - Phone:405-285-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty