Healthcare Provider Details

I. General information

NPI: 1033725635
Provider Name (Legal Business Name): THE SPRING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7802 W 7TH ST
TULSA OK
74127-5524
US

IV. Provider business mailing address

PO BOX 1588
SAND SPRINGS OK
74063-1588
US

V. Phone/Fax

Practice location:
  • Phone: 918-245-4075
  • Fax: 918-245-3995
Mailing address:
  • Phone: 918-245-4075
  • Fax: 918-245-3995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMBER PONDER
Title or Position: RECOVERY SUPPORT SPECIALIST
Credential:
Phone: 918-947-4660