| Intrinsic Health | |
|
5100 N Brookline Ave Ste 630 Oklahoma City OK 73112-3623 | |
| (918) 688-5526 | |
| Not Available |
| Full Name | Intrinsic Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5100 N Brookline Ave Ste 630, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Zachary Rae Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9186885526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrinsic Health 5100 N Brookline Ave Ste 630 Oklahoma City OK 73112-3623 Ph: (918) 688-5526 | Intrinsic Health 5100 N Brookline Ave Ste 630 Oklahoma City OK 73112-3623 Ph: (918) 688-5526 |
| NPI Number | 1225695653 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225695653 | NPI | - | NPPES |
| 1295280642 | Other | TYPE 1 NPI | |
| 6632 | Other | OK | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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