| Tulsa Metro Psychiatry, Llc | |
|
4870 S Lewis Ave Ste 243 Tulsa OK 74105-5115 | |
| (918) 982-6524 | |
| (539) 399-7559 |
| Full Name | Tulsa Metro Psychiatry, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4870 S Lewis Ave Ste 243, Tulsa, Oklahoma |
| Authorized Official Name and Position | Hannah Lawrence (OWNER, OFFICE MANAGER) |
| Authorized Official Contact | 9189826524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Metro Psychiatry, Llc 4870 S Lewis Ave Ste 243 Tulsa OK 74105-5115 Ph: (918) 982-6524 | Tulsa Metro Psychiatry, Llc 4870 S Lewis Ave Ste 243 Tulsa OK 74105-5115 Ph: (918) 982-6524 |
| NPI Number | 1518789874 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518789874 | NPI | - | NPPES |
| 1144636176 | Medicaid | OK | |
| 1316590714 | Medicaid | OK | |
| 1568602779 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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