| Legacy Family Intervention Services, Inc. | |
|
12525 E 27th Pl Tulsa OK 74129-8233 | |
| (918) 619-6394 | |
| (918) 639-6394 |
| Full Name | Legacy Family Intervention Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12525 E 27th Pl, Tulsa, Oklahoma |
| Authorized Official Name and Position | Roshell Denise Collins (VICE PRESIDENT/THERAPIST) |
| Authorized Official Contact | 9182371141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Intervention Services, Inc. 12525 E 27th Pl Tulsa OK 74129-8233 Ph: (918) 619-6394 | Legacy Family Intervention Services, Inc. 12525 E 27th Pl Tulsa OK 74129-8233 Ph: (918) 619-6394 |
| NPI Number | 1366879488 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366879488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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