| Sublime Therapy Group Llc | |
|
4815 S Harvard Ave Ste 480 Tulsa OK 74135-3050 | |
| (918) 973-2256 | |
| Not Available |
| Full Name | Sublime Therapy Group Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4815 S Harvard Ave Ste 480, Tulsa, Oklahoma |
| Authorized Official Name and Position | Sarah Rupnow (OWNER) |
| Authorized Official Contact | 9183442353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublime Therapy Group Llc 4815 S Harvard Ave Ste 480 Tulsa OK 74135-3050 Ph: (918) 973-2256 | Sublime Therapy Group Llc 4815 S Harvard Ave Ste 480 Tulsa OK 74135-3050 Ph: (918) 973-2256 |
| NPI Number | 1396373064 |
|---|---|
| Provider Enumeration Date | 03/30/2020 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396373064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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