Healthcare Provider Details

I. General information

NPI: 1790560480
Provider Name (Legal Business Name): TCF TULSA BIRTH EQUITY INITIATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S MAIN ST STE 300
TULSA OK
74119-4452
US

IV. Provider business mailing address

1601 S MAIN ST STE 300
TULSA OK
74119-4452
US

V. Phone/Fax

Practice location:
  • Phone: 918-111-1111
  • Fax:
Mailing address:
  • Phone: 918-557-7356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA CHERMS
Title or Position: OPPERATIONS
Credential:
Phone: 918-111-1111