Healthcare Provider Details

I. General information

NPI: 1063958189
Provider Name (Legal Business Name): INTUNE MOTHER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2017
Last Update Date: 01/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 NW 11TH ST
OKLAHOMA CITY OK
73103-3914
US

IV. Provider business mailing address

213 BELLAIRE DR
MOORE OK
73160-4615
US

V. Phone/Fax

Practice location:
  • Phone: 405-795-3733
  • Fax:
Mailing address:
  • Phone: 405-795-3733
  • Fax: 405-735-9859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHAUNDA LUGRAND
Title or Position: FOUNDER/OWNER
Credential:
Phone: 405-795-3733