The Therapy Tree

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3499 Issued in OK

Legal business name

THE THERAPY TREE

Practice address

3519 E Jackson St
Hugo, OK 74743-4042

Phone

(580) 317-9140

Fax

(580) 317-9141

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By 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

Mrs. Deborah Kaye Wall, LPC

Title

Ceo/Clinical Director

Phone

(580) 317-9140

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1790148997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434042",
            "telephone_number": "580-317-9140",
            "fax_number": "580-317-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434042",
            "telephone_number": "580-317-9140",
            "fax_number": "580-317-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY TREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "580-317-9140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy May Tandberg-Willcox, D.O
• Alexis Danae Taylor
• Jowanna S Teague, BA,BHRS,CBHCM-D
• Christie R Terry-Ball
• Gweneth Susan Terry-Ball
• Kashia Nicole Thompson, LMSW
• Joshua Asher Tims, BHRS
• Tricounty Behavioral Health, LLC
• Vision Source of Hugo, Inc.
• Vision Source of Hugo, Inc.

• Mental Health Counselor in Hugo, OK
• Providers in Hugo, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.