FAMILY THERAPY AND RENEWAL CENTER PLLC NPI 1689919482

NPI Information

NPI: 1689919482
Provider Name: FAMILY THERAPY AND RENEWAL CENTER PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
8321 E 61ST ST STE 205
TULSA, OK
ZIP 74133
Phone: (918) 269-4159
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FAMILY THERAPY AND RENEWAL CENTER PLLC is a professional counselor in Tulsa, OK. FAMILY THERAPY AND RENEWAL CENTER PLLC NPI is 1689919482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8321 E 61ST ST STE 205
TULSA, OK
ZIP 74133-911
Phone: (918) 269-4159
Fax: (918) 369-4951

The provider's authorized official is Talitha Susan Bachmann .
The authorized official title is Member and has the following contact phone number (918) 369-4950.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 11/27/2017.

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
1	101YP2500X	Counselor	Professional	3752	OKLAHOMA	Yes
2	101YP2500X	Counselor	Professional	3728	OKLAHOMA	No
3	106H00000X	Marriage & Family Therapist		982	OKLAHOMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200467210A	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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