Counseling & Recovery Services Of Oklahoma, Inc. | |
7010 S Yale Ave Suite 215 Tulsa OK 74136-5713 | |
(918) 492-2554 | |
(918) 477-9201 |
Full Name | Counseling & Recovery Services Of Oklahoma, Inc. |
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Speciality | Community/Behavioral Health |
Location | 7010 S Yale Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Tamara L Horne (CONTROLLER) |
Authorized Official Contact | 9184922554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Counseling & Recovery Services Of Oklahoma, Inc. 7010 S Yale Ave Suite 215 Tulsa OK 74136-5713 Ph: (918) 492-2554 | Counseling & Recovery Services Of Oklahoma, Inc. 7010 S Yale Ave Suite 215 Tulsa OK 74136-5713 Ph: (918) 492-2554 |
NPI Number | 1023172012 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 06/02/2011 |
Medicare PECOS PAC ID | 8921990326 |
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Medicare Enrollment ID | O20100616000605 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023172012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Charles D Van Tuyl |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629014899 PECOS PAC ID: 2769486604 Enrollment ID: I20111230000443 |
Provider Name | Caroline Leithner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609312008 PECOS PAC ID: 3274803614 Enrollment ID: I20211103000800 |
Provider Name | Rebekah Elisabeth Mackey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932898251 PECOS PAC ID: 4284176769 Enrollment ID: I20240612001553 |
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