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

Last updated

May 11, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ethel Eva Hartley, LPC LADC

Title

Owner

Phone

(405) 240-2469

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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.

{
    "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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• Kristina Alycia Freeborn, MA. CCC-SLP

• Adolescent and Children Mental Health Clinic/Center in Purcell, OK
• Providers in Purcell, OK by specialty
• 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.