ADDICTION MANAGEMENT LLC NPI 1154190692

NPI Information

  • NPI: 1154190692
  • Provider Name: ADDICTION MANAGEMENT LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: ADDICTION MANAGEMENT LLC
  • Address: 3015 E SKELLY DR STE 103
    TULSA, OK
    ZIP 74105
  • Phone: (918) 509-5000

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NPI Details

ADDICTION MANAGEMENT LLC is a general practice in Tulsa, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADDICTION MANAGEMENT LLC NPI is 1154190692. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Addiction Management Llc.

The provider's business location address is:

3015 E SKELLY DR STE 103
TULSA, OK
ZIP 74105-344
Phone: (918) 509-5000

The provider's authorized official is Gregory Berenato .
The authorized official title is Owner and has the following contact phone number (918) 509-5000.

The enumeration date for this NPI number is 12/26/2023 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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