| Thewellnessgardenok.com | |
|
3010 S Harvard Ave Ste 110 Tulsa OK 74114-6124 | |
| (918) 749-1840 | |
| Not Available |
| Full Name | Thewellnessgardenok.com |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3010 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Cherry L Temple (CO-OWNER, DIRECTOR OF THERAPY) |
| Authorized Official Contact | 9184067895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thewellnessgardenok.com 5907 E 27th Pl Tulsa OK 74114-5129 Ph: (918) 406-7895 | Thewellnessgardenok.com 3010 S Harvard Ave Ste 110 Tulsa OK 74114-6124 Ph: (918) 749-1840 |
| NPI Number | 1275924110 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275924110 | NPI | - | NPPES |
| 200346590A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3512490132 (Oklahoma) | Primary |
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