Provider Demographics
NPI:1801134929
Name:THERAPY & BEYOND OF OKLAHOMA, LLC
Entity type:Organization
Organization Name:THERAPY & BEYOND OF OKLAHOMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-892-7500
Mailing Address - Street 1:3620 NORTH JOSEY LANE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3159
Mailing Address - Country:US
Mailing Address - Phone:539-777-0940
Mailing Address - Fax:888-237-2214
Practice Address - Street 1:3311 E 46TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2903
Practice Address - Country:US
Practice Address - Phone:539-777-0940
Practice Address - Fax:888-237-8814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEACH HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-24
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health