Just Breathe Counseling And Assessments | |
6777 E 11th St Tulsa OK 74112-4619 | |
(918) 273-2843 | |
Not Available |
Full Name | Just Breathe Counseling And Assessments |
---|---|
Speciality | Clinic/Center |
Location | 6777 E 11th St, Tulsa, Oklahoma |
Authorized Official Name and Position | Kala Perez (OWNER/LPC-S) |
Authorized Official Contact | 9182732843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Just Breathe Counseling And Assessments 6777 E 11th St Tulsa OK 74112-4619 Ph: (918) 273-2843 | Just Breathe Counseling And Assessments 6777 E 11th St Tulsa OK 74112-4619 Ph: (918) 273-2843 |
NPI Number | 1437893773 |
---|---|
Provider Enumeration Date | 04/22/2022 |
Last Update Date | 10/28/2023 |
Certification Date | 10/28/2023 |
Medicare PECOS PAC ID | 3971953902 |
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Medicare Enrollment ID | O20240103000865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437893773 | NPI | - | NPPES |
201074720A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kala Perez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699118158 PECOS PAC ID: 8224488259 Enrollment ID: I20240103001628 |
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