Heather Eileen Willis, LCSW
Social Worker, Clinical in Tulsa, OK. Individual provider (NPI-1).
NPI number1164095246
StatusActive
Last updated in NPPESMay 31, 2025
Details
- NPI
- 1164095246
- Entity type
- Individual (NPI-1)
- Name
- Heather Eileen Willis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- May 31, 2025
- Last updated
- May 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20580 | OK | Yes |
| 104100000X | Social Worker | 10802804-03 | OK |
Practice location
3171 S 129th East Ave # 3037Tulsa, OK 74134-3205
Phone 918-500-2351 · Fax 918-380-3004
Mailing address
3171 S 129th East Ave # 3037Tulsa, OK 74134-3205
Phone 918-500-2351 · Fax 918-380-3004
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