| Nurtured In Natural Environments Ranch, Llc | |
|
4900 W 71st St Tulsa OK 74131-3459 | |
| (918) 934-4010 | |
| Not Available |
| Full Name | Nurtured In Natural Environments Ranch, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4900 W 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Frederick Lawrence Lobpries (PRESIDENT, CO-FOUNDER) |
| Authorized Official Contact | 9189344010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurtured In Natural Environments Ranch, Llc 4327 S Atlanta Ave Tulsa OK 74105-4335 Ph: (918) 934-4010 | Nurtured In Natural Environments Ranch, Llc 4900 W 71st St Tulsa OK 74131-3459 Ph: (918) 934-4010 |
| NPI Number | 1699534719 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 5597202051 |
|---|---|
| Medicare Enrollment ID | O20240813001277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699534719 | NPI | - | NPPES |
| Provider Name | Kristin J Tipps |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558545434 PECOS PAC ID: 8628516325 Enrollment ID: I20240815001898 |
| Provider Name | Devin R Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174936603 PECOS PAC ID: 3072044403 Enrollment ID: I20241009001133 |
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