| Annalisa Gwin-vinsant, Lpc, Pllc | |
|
8596 E 101st St Ste D Tulsa OK 74133-7037 | |
| (918) 760-2464 | |
| (918) 364-5004 |
| Full Name | Annalisa Gwin-vinsant, Lpc, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8596 E 101st St Ste D, Tulsa, Oklahoma |
| Authorized Official Name and Position | Annalisa Gwin-vinsant (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9187602464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annalisa Gwin-vinsant, Lpc, Pllc 5312 E 28th St Tulsa OK 74114-6302 Ph: (918) 760-2464 | Annalisa Gwin-vinsant, Lpc, Pllc 8596 E 101st St Ste D Tulsa OK 74133-7037 Ph: (918) 760-2464 |
| NPI Number | 1932663283 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932663283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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