Therapeutic Connections | |
2021 S Lewis Ave Ste 325 Tulsa OK 74104-5719 | |
(918) 281-5031 | |
Not Available |
Full Name | Therapeutic Connections |
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Speciality | Social Worker |
Location | 2021 S Lewis Ave Ste 325, Tulsa, Oklahoma |
Authorized Official Name and Position | Glenda Gail Bieber (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 9182815031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapeutic Connections 307 Waterford St Catoosa OK 74015-5990 Ph: (918) 281-5031 | Therapeutic Connections 2021 S Lewis Ave Ste 325 Tulsa OK 74104-5719 Ph: (918) 281-5031 |
NPI Number | 1518475334 |
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Provider Enumeration Date | 01/15/2018 |
Last Update Date | 01/15/2018 |
Medicare PECOS PAC ID | 5496000598 |
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Medicare Enrollment ID | O20180613001961 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518475334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1194 (Oklahoma) | Primary |
Provider Name | Glenda Gail Bieber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982745410 PECOS PAC ID: 5193752723 Enrollment ID: I20170412002326 |
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