| Oklahoma Outreach Therapy | |
|
7320 S Yale Avenue Suite 202 Tulsa OK 74136 | |
| (918) 488-0163 | |
| (918) 488-1583 |
| Full Name | Oklahoma Outreach Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7320 S Yale Avenue, Tulsa, Oklahoma |
| Authorized Official Name and Position | Krista Patrick (DIRECTOR OF ACCOUNTING SERVICES) |
| Authorized Official Contact | 7858250541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Outreach Therapy 509 E Elm St Salina KS 67401-2353 Ph: (785) 825-0541 | Oklahoma Outreach Therapy 7320 S Yale Avenue Suite 202 Tulsa OK 74136 Ph: (918) 488-0163 |
| NPI Number | 1073779328 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073779328 | NPI | - | NPPES |
| 200219080A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1607 (Oklahoma) | Primary |
| 101YP2500X | Counselor - Professional | 4634 (Oklahoma) | Secondary |
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