| Integrated Renegade, LLC | |
|
1264 E 139th Pl Glenpool OK 74033-3125 | |
| (918) 321-0697 | |
| Not Available |
| Full Name | Integrated Renegade, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1264 E 139th Pl, Glenpool, Oklahoma |
| Authorized Official Name and Position | Petra Russell (OWNER) |
| Authorized Official Contact | 9183210697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Renegade, LLC 1264 E 139th Pl Glenpool OK 74033-3125 | Integrated Renegade, LLC 1264 E 139th Pl Glenpool OK 74033-3125 Ph: (918) 321-0697 |
| NPI Number | 1366223265 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366223265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
Increasing Tranquility LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 519 E. 141st St., Suite L, Glenpool, OK 74033 Phone: 918-650-6558 Fax: 918-286-7007 |
Green Country Emdr Therapy PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 E 148th St S, Glenpool, OK 74033 Phone: 918-732-9363 |
Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 S Yukon Ave Apt 2631, Glenpool, OK 74033 Phone: 918-402-3724 |
Calm Tomorrows LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 E 141st St Ste L, Glenpool, OK 74033 Phone: 405-238-0216 |
Take Heart Therapy, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 E 141st St Ste L, Glenpool, OK 74033 Phone: 918-641-4605 |
Rowland Counseling Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 E 141st St Ste L, Glenpool, OK 74033 Phone: 918-282-2689 |