1932312535 NPI number — MS. CATHEY ANNE CHAMBERS M.ED., LPC,LADC, NCG

Table of content: MS. CATHEY ANNE CHAMBERS M.ED., LPC,LADC, NCG (NPI 1932312535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932312535 NPI number — MS. CATHEY ANNE CHAMBERS M.ED., LPC,LADC, NCG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAMBERS
Provider First Name:
CATHEY
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., LPC,LADC, NCG
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUDD
Provider Other First Name:
CATHEY
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, LADC, NCGC1
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932312535
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3764 E 111TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74137-7400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-298-0724
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6333 E SKELLY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74135-6106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-779-7168
Provider Business Practice Location Address Fax Number:
918-663-0203
Provider Enumeration Date:
05/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  3987 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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