| Mind Body And Spirits Therapy, Llc | |
|
4444 E 31st St Tulsa OK 74135-2131 | |
| (191) 874-9199 | |
| Not Available |
| Full Name | Mind Body And Spirits Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4444 E 31st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Missy Trentham (OFFICE MANAGER) |
| Authorized Official Contact | 9187491991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body And Spirits Therapy, Llc 4444 E 31st St Tulsa OK 74135-2131 Ph: (191) 874-9199 | Mind Body And Spirits Therapy, Llc 4444 E 31st St Tulsa OK 74135-2131 Ph: (191) 874-9199 |
| NPI Number | 1205598877 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205598877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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