| A New Way Center, Llp | |
|
130 N Greenwood Ave Suite 302 Tulsa OK 74120-1409 | |
| (918) 688-5858 | |
| Not Available |
| Full Name | A New Way Center, Llp |
|---|---|
| Speciality | Counselor |
| Location | 130 N Greenwood Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Richard Dean Desirey (MANAGING PARTNER) |
| Authorized Official Contact | 9186885858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Way Center, Llp 130 N Greenwood Ave Suite 302 Tulsa OK 74120-1409 Ph: (918) 688-5858 | A New Way Center, Llp 130 N Greenwood Ave Suite 302 Tulsa OK 74120-1409 Ph: (918) 688-5858 |
| NPI Number | 1669766168 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Medicare PECOS PAC ID | 6406172063 |
|---|---|
| Medicare Enrollment ID | O20150226001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669766168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1305 (Oklahoma) | Primary |
| Provider Name | Viola Luna Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245562370 PECOS PAC ID: 4880832849 Enrollment ID: I20130603000427 |
| Provider Name | Tiffany N Tottress |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023245800 PECOS PAC ID: 3375867898 Enrollment ID: I20150109001583 |
| Provider Name | Martha G Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346513777 PECOS PAC ID: 1557681442 Enrollment ID: I20150515001335 |
| Provider Name | Joan Kritsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093946220 PECOS PAC ID: 8820375223 Enrollment ID: I20170512001933 |
| Provider Name | Sojourner R Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619265931 PECOS PAC ID: 6507115581 Enrollment ID: I20180824000549 |
| Provider Name | Vanessa L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710229612 PECOS PAC ID: 1456601475 Enrollment ID: I20180912000658 |
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