OrganizationMary Lou Tabers, Ma, Lmft, Pllc(Mary Lou Tabers)Marriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5708 NW 135th St Ste C, Oklahoma City, OK 73142-5942(405) 436-9962PECOS EnrollmentBased on the most recent information from CMS, provider Mary Lou Tabers, Ma, Lmft, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1730598517Provider TypeOrganizationFull NameMary Lou Tabers, Ma, Lmft, PllcOther NameMary Lou TabersSubpartNoEnumeration Date8/6/2014Last Updated8/6/2014Contact InformationPractice LocationPractice Address5708 NW 135th St Ste C, Oklahoma City, OK 73142-5942Phone(405) 436-9962Fax(405) 495-1655Mailing LocationMailing Address5708 NW 135th St Ste C, Oklahoma City, OK 73142-5942Phone(405) 436-9962Fax(405) 495-1655Authorized OfficialNameTabers, Mary Lou (Marital And Family Therapist)Phone(405) 436-9962Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense1111Oklahoma