| Reverence Counseling & Consulting | |
|
7136 S Yale Ave Ste 300 Tulsa OK 74136-6381 | |
| (918) 619-5168 | |
| Not Available |
| Full Name | Reverence Counseling & Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 7136 S Yale Ave Ste 300, Tulsa, Oklahoma |
| Authorized Official Name and Position | Samantha Cannon (OWNER) |
| Authorized Official Contact | 9186195168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverence Counseling & Consulting 7136 S Yale Ave Ste 300 Tulsa OK 74136-6381 Ph: () - | Reverence Counseling & Consulting 7136 S Yale Ave Ste 300 Tulsa OK 74136-6381 Ph: (918) 619-5168 |
| NPI Number | 1346874203 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 04/18/2020 |
| Certification Date | 04/18/2020 |
| Medicare PECOS PAC ID | 0446681449 |
|---|---|
| Medicare Enrollment ID | O20200506003329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346874203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha R Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063841419 PECOS PAC ID: 7517247422 Enrollment ID: I20161212001765 |
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