| Anew Dawn Counseling Services Llc | |
|
2227 S Garnett Rd Ste 106 Tulsa OK 74129-5115 | |
| (918) 409-9677 | |
| Not Available |
| Full Name | Anew Dawn Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2227 S Garnett Rd Ste 106, Tulsa, Oklahoma |
| Authorized Official Name and Position | Julie Hooper (OWNER) |
| Authorized Official Contact | 9184099677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Dawn Counseling Services Llc 2227 S Garnett Rd Ste 106 Tulsa OK 74129-5115 Ph: (918) 409-9677 | Anew Dawn Counseling Services Llc 2227 S Garnett Rd Ste 106 Tulsa OK 74129-5115 Ph: (918) 409-9677 |
| NPI Number | 1033758453 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 9537574983 |
|---|---|
| Medicare Enrollment ID | O20210216002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033758453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114040656 PECOS PAC ID: 8022298629 Enrollment ID: I20110215000409 |
| Provider Name | Jessica Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447673611 PECOS PAC ID: 6002170552 Enrollment ID: I20180509000031 |
| Provider Name | Angela G Hardman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700143096 PECOS PAC ID: 0446642698 Enrollment ID: I20220120000395 |
| Provider Name | Shannon West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518209915 PECOS PAC ID: 8022484013 Enrollment ID: I20221017000818 |
| Provider Name | Michael Wayne Quiroz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013119809 PECOS PAC ID: 5395187462 Enrollment ID: I20240522000262 |
| Provider Name | Simonne Cassandra Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376963579 PECOS PAC ID: 9133561590 Enrollment ID: I20240530002506 |
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