| The Evolution Of Her | |
|
4867 S Sheridan Rd Ste 712a Tulsa OK 74145-5721 | |
| (918) 550-5958 | |
| Not Available |
| Full Name | The Evolution Of Her |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4867 S Sheridan Rd Ste 712a, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jennifer D. Rodriguez (OWNER) |
| Authorized Official Contact | 9184079803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Evolution Of Her 4867 S Sheridan Rd Ste 712a Tulsa OK 74145-5721 Ph: (918) 550-5958 | The Evolution Of Her 4867 S Sheridan Rd Ste 712a Tulsa OK 74145-5721 Ph: (918) 550-5958 |
| NPI Number | 1285391797 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285391797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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