| Livingthrivingforward | |
|
637 E 57 Street N Tulsa OK 74126 | |
| (918) 406-2679 | |
| Not Available |
| Full Name | Livingthrivingforward |
|---|---|
| Speciality | Social Worker |
| Location | 637 E 57 Street N, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kendra Day (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 9184062679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingthrivingforward 1233 N Cedar St Unit 252 Owasso OK 74055-5149 Ph: (918) 406-2679 | Livingthrivingforward 637 E 57 Street N Tulsa OK 74126 Ph: (918) 406-2679 |
| NPI Number | 1215657234 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 1052787157 |
|---|---|
| Medicare Enrollment ID | O20221014000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215657234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kendra Zoe Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083164313 PECOS PAC ID: 5698189629 Enrollment ID: I20210202001879 |
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