NPI 1376874412 · live from the CMS NPI Registry
Julie Ann Boaz, BS,MHR,LMFT cand
Counselor, Mental Health in Tulsa, OK. National Provider Identifier 1376874412, active.
NPI record
| NPI | 1376874412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 6301 E. 41st Street, Tulsa, OK 74135 |
| Practice phone | 918-289-0550 |
| Mailing address | 6301 E 41st St, Tulsa, OK 74135 |
| Enumerated | January 28, 2010 |
| Last updated | March 19, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.