NPI 1639502545

Bonny Parkhurst, Lpc, PLLC

Organisation Exclusive Provider Organization Tulsa, OK

Practice location

Address: 1201 E 33rd St, Tulsa, OK 74105-2017
Phone: (918) 292-9432
Mailing address: 4524 S Kingston Ave, Tulsa, OK 74135-6536

Authorised official

Name: Bonny Parkhurst
Title: Owner / Licensed Counselor
Phone: (918) 202-9432

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5006 (OK)

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Registry record

NPI: 1639502545
Entity type: Organization
NPI issued: 14 Aug 2013
Record last updated: 14 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.