| Mindful Peace Trauma Therapy Llc | |
|
8703 W 151st St S Sapulpa OK 74066-1043 | |
| (316) 305-6064 | |
| Not Available |
| Full Name | Mindful Peace Trauma Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8703 W 151st St S, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Brenda Jean Mcentire Uphold (OWNER/THERAPIST) |
| Authorized Official Contact | 3163056064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Peace Trauma Therapy Llc 8703 W 151st St S Sapulpa OK 74066-1043 Ph: (316) 305-6064 | Mindful Peace Trauma Therapy Llc 8703 W 151st St S Sapulpa OK 74066-1043 Ph: (316) 305-6064 |
| NPI Number | 1831692367 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Medicare PECOS PAC ID | 5890058473 |
|---|---|
| Medicare Enrollment ID | O20180412001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831692367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5705 (Oklahoma) | Primary |
| Provider Name | Brenda Jean Mcentire Uphold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760815187 PECOS PAC ID: 7517220197 Enrollment ID: I20180412001415 |
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