R.E.A.L THERAPY LLC NPI 1619604139

NPI Information

  • NPI: 1619604139
  • Provider Name: R.E.A.L THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3000 UNITED FOUNDERS BLVD STE 139D
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 541-4209

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NPI Details

R.E.A.L THERAPY LLC is a mental health (including community mental health center) clinic center in Oklahoma City, OK. R.E.A.L THERAPY LLC NPI is 1619604139. The provider is registered as an organization entity type.

The provider's business location address is:

3000 UNITED FOUNDERS BLVD STE 139D
OKLAHOMA CITY, OK
ZIP 73112-359
Phone: (405) 541-4209

The provider's authorized official is Jermell Antonio Perry .
The authorized official title is Ceo/owner and has the following contact phone number (405) 541-4209.

The enumeration date for this NPI number is 8/4/2022 and was last updated on 8/12/2022.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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