| Carole's Hope | |
|
7711 E 111th St Ste 116 Tulsa OK 74133-2563 | |
| (918) 261-4055 | |
| (918) 528-5058 |
| Full Name | Carole's Hope |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7711 E 111th St Ste 116, Tulsa, Oklahoma |
| Authorized Official Name and Position | Shonn R. Broyles (OWNER) |
| Authorized Official Contact | 9182614055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole's Hope 10414 S Toledo Ave Tulsa OK 74137-6245 Ph: (918) 261-4055 | Carole's Hope 7711 E 111th St Ste 116 Tulsa OK 74133-2563 Ph: (918) 261-4055 |
| NPI Number | 1629552971 |
|---|---|
| Provider Enumeration Date | 09/22/2018 |
| Last Update Date | 09/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629552971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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