| Soaak Clinics Llc | |
|
2448 E 81st St Ste 5100 Tulsa OK 74137-4289 | |
| (918) 747-7400 | |
| Not Available |
| Full Name | Soaak Clinics Llc |
|---|---|
| Speciality | Counselor |
| Location | 2448 E 81st St Ste 5100, Tulsa, Oklahoma |
| Authorized Official Name and Position | Laura Widney (PRESIDENT) |
| Authorized Official Contact | 9187702271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaak Clinics Llc 2448 E 81st St Ste 5100 Tulsa OK 74137-4289 Ph: (918) 747-7400 | Soaak Clinics Llc 2448 E 81st St Ste 5100 Tulsa OK 74137-4289 Ph: (918) 747-7400 |
| NPI Number | 1497592596 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 8426578527 |
|---|---|
| Medicare Enrollment ID | O20250219002850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497592596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joshua Beavers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154717460 PECOS PAC ID: 9830541747 Enrollment ID: I20240914000064 |
| Provider Name | Elnor Mccabe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326286303 PECOS PAC ID: 2567991516 Enrollment ID: I20250121002861 |
| Provider Name | Amber Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942622279 PECOS PAC ID: 6901335124 Enrollment ID: I20250131002697 |
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