Lemon Tree Grove Therapy Clinic of South Tulsa LLC

NPI #1760106793 in Tulsa, Oklahoma

Provider Information

NPI Number: 1760106793
Entity Type: Organization
Organization Name: Lemon Tree Grove Therapy Clinic of South Tulsa LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 8252 S HARVARD AVE STE 151
City: Tulsa
State: Oklahoma
ZIP Code: 74137-1646
Phone: (918) 924-5058

Authorized Official

Name: ANTHONY TYLER OWENS
Title: EXECUTIVE DIRECTOR
Phone: (539) 240-4735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Case Manager/Care Coordinator	171M00000X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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