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LANDMARK RECOVERY OUTPATIENT SERVICES LLC NPI 1194297341


NPI Information

NPI: 1194297341
Provider Name: LANDMARK RECOVERY OUTPATIENT SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1805 E 15TH ST
TULSA, OK
ZIP 74104
Phone: (888) 448-0302
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LANDMARK RECOVERY OUTPATIENT SERVICES, LLC is an adult mental health clinic center in Tulsa, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LANDMARK RECOVERY OUTPATIENT SERVICES, LLC NPI is 1194297341. The provider is registered as an organization entity type.

The provider's business location address is:

1805 E 15TH ST
TULSA, OK
ZIP 74104-610
Phone: (888) 448-0302

The provider's authorized official is Jessica Prochut .
The authorized official title is Credentialing Specialist and has the following contact phone number (480) 619-8556.

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.