| Recovery Achievements Llc | |
|
5300 N Meridian Ave Ste 11a Oklahoma City OK 73112-2179 | |
| (405) 602-4705 | |
| (405) 225-1408 |
| Full Name | Recovery Achievements Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5300 N Meridian Ave Ste 11a, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Chasity Walker (CEO/OWNER) |
| Authorized Official Contact | 4056024705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Achievements Llc 5300 N Meridian Ave Ste 11a Oklahoma City OK 73112-2179 Ph: (405) 602-4705 | Recovery Achievements Llc 5300 N Meridian Ave Ste 11a Oklahoma City OK 73112-2179 Ph: (405) 602-4705 |
| NPI Number | 1386081362 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 1759771108 |
|---|---|
| Medicare Enrollment ID | O20211130000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386081362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Glenetta Laschelle Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972831188 PECOS PAC ID: 7012307465 Enrollment ID: I20211130000093 |
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