Increasing Tranquility Llc | |
519 E. 141st St. Suite L Glenpool OK 74033 | |
(918) 650-6558 | |
(918) 286-7007 |
Full Name | Increasing Tranquility Llc |
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Speciality | Clinic/Center |
Location | 519 E. 141st St., Glenpool, Oklahoma |
Authorized Official Name and Position | Monica Waukea Hamer (MENTAL HEALTH PROVIDER) |
Authorized Official Contact | 9183069385 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Increasing Tranquility Llc 5112 S. Hickory Ave Broken Arrow OK 74011 Ph: (918) 306-9385 | Increasing Tranquility Llc 519 E. 141st St. Suite L Glenpool OK 74033 Ph: (918) 650-6558 |
NPI Number | 1407376981 |
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Provider Enumeration Date | 06/26/2017 |
Last Update Date | 06/26/2017 |
Medicare PECOS PAC ID | 6507299534 |
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Medicare Enrollment ID | O20191205002121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407376981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5154 (Oklahoma) | Primary |
Provider Name | Monica Waukea Hamer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942474994 PECOS PAC ID: 3173805405 Enrollment ID: I20170123001247 |
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