| Bluebird Industries Llc | |
|
5331 E 124th Pl S Bixby OK 74008-5822 | |
| (530) 786-9589 | |
| Not Available |
| Full Name | Bluebird Industries Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5331 E 124th Pl S, Bixby, Oklahoma |
| Authorized Official Name and Position | Lia Ek (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5307869589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Industries Llc 5331 E 124th Pl S Bixby OK 74008-5822 Ph: (530) 786-9589 | Bluebird Industries Llc 5331 E 124th Pl S Bixby OK 74008-5822 Ph: (530) 786-9589 |
| NPI Number | 1164234159 |
|---|---|
| Provider Enumeration Date | 01/25/2025 |
| Last Update Date | 01/25/2025 |
| Certification Date | 01/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164234159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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