Name and Contact Information Update:
If you need to update your name or contact information, please complete and submit the Information Update Form. The Information Update Form may be submitted by email to Eric Ashmore at firstname.lastname@example.org, or by mail to:
State Board of Behavioral Health Licensure (BBHL)
3815 N. Santa Fe, Suite 110
Oklahoma City, OK 73118
Use the link below to obtain the Information Update Form:
Email Address Update:
If you need to update your email address only, use the link below to send your request to the Department by email to Eric Ashmore at email@example.com. Please include your name, license type, and license number in your request Do not change the information in the subject line.
Please note, by submitting your email address to the Agency you may receive correspondence from the Agency as necessary.