| Mindful Peace Trauma Therapy Llc | |
|
3015 E Skelly Dr Ste 136 Tulsa OK 74105-6344 | |
| (316) 305-6064 | |
| Not Available |
| Full Name | Mindful Peace Trauma Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3015 E Skelly Dr Ste 136, Tulsa, Oklahoma |
| Authorized Official Name and Position | Brenda Jean Mcentire Uphold (OWNER/THERAPIST) |
| Authorized Official Contact | 3163056064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Peace Trauma Therapy Llc 8703 W 151st St S Sapulpa OK 74066-1043 Ph: (316) 305-6064 | Mindful Peace Trauma Therapy Llc 3015 E Skelly Dr Ste 136 Tulsa OK 74105-6344 Ph: (316) 305-6064 |
| NPI Number | 1831692367 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 5890058473 |
|---|---|
| Medicare Enrollment ID | O20180412001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831692367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5705 (Oklahoma) | Primary |
| Provider Name | Brenda Jean Mcentire Uphold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760815187 PECOS PAC ID: 7517220197 Enrollment ID: I20180412001415 |
Family & Children's Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Eightth Street, Tulsa, OK 74119 Phone: 918-585-3227 | |
Destined For Greatness Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 E Young St, Tulsa, OK 74110 Phone: 918-382-0146 | |
Serenity Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5103 S Sheridan Rd # 323, Tulsa, OK 74145 Phone: 918-764-6134 | |
Exhale Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 S Denver Ave, Tulsa, OK 74119 Phone: 918-900-1511 | |
Human Skills And Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 S Harvard Ave, Tulsa, OK 74114 Phone: 918-747-6377 Fax: 918-747-8594 | |
Family & Life Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7633 E. 63rd Place, Suite 300, Tulsa, OK 74133 Phone: 918-695-2495 | |
Shanna Eischen Consulting And Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6308 E 15th St Ste 2c, Tulsa, OK 74112 Phone: 918-695-0996 |