| Afro/euro Behavioral Health (raymond Virgil Simms) | |
|
5646 S Boston Ave Tulsa OK 74105-7725 | |
| (918) 829-8289 | |
| (918) 712-8781 |
| Full Name | Afro/euro Behavioral Health (raymond Virgil Simms) |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5646 S Boston Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Raymond Virgil Simms (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9188298289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afro/euro Behavioral Health (raymond Virgil Simms) Po Box 701944 Tulsa OK 74170-1944 Ph: (918) 829-8289 | Afro/euro Behavioral Health (raymond Virgil Simms) 5646 S Boston Ave Tulsa OK 74105-7725 Ph: (918) 829-8289 |
| NPI Number | 1962714659 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962714659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3589 (Oklahoma) | Primary |
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