Eva Hartley LPC Ladc PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

5490 Issued in OK

Legal business name

EVA HARTLEY LPC LADC PLLC

Practice address

414 W Monroe St
Purcell, OK 73080-3208

Phone

(405) 420-2469

NPI assigned

May 11, 2015

Organization subpart

No

Name

Ethel Eva Hartley, LPC LADC

Title

Owner

Phone

(405) 240-2469

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Hartley, LADC, LPC (US)

  • Addiction (Substance Use Disorder) Counselor
  • Purcell, OK
  • NPI 1457589194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2015.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1467830554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W. MONROE",
            "city": "PUECELL",
            "state": "OK",
            "postal_code": "74878",
            "telephone_number": "405-420-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MONROE ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730803208",
            "telephone_number": "405-420-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA HARTLEY LPC LADC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-240-2469",
        "authorized_official_credential": "LPC LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OK",
            "license": "5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Purcell, OK
• Adolescent and Children Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.