Individual ProviderMary Lou TabersMarriage & 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 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 ID1841558301Provider TypeIndividualFull NameTabers, Mary LouTitleMrs.CredentialM.A.GenderFemaleSole ProprietorYesEnumeration Date5/2/2012Last Updated9/24/2014Contact InformationPractice LocationPractice Address5708 NW 135th St Ste C, Oklahoma City, OK 73142-5942Phone(405) 436-9962FaxUnlisted FaxMailing LocationMailing Address5708 NW 135th St Ste C, Oklahoma City, OK 73142-5942Phone(405) 436-9962FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer