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NPI Code Detail

MEDICARE: WRAP INC

MEDICARE: WRAP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2261QR0400XRehabilitation Clinic/Center
3101YM0800XMental Health Counselor
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5261QM1300XMulti-Specialty Clinic/Center
6261QR0800XRecovery Care Clinic/Center
7251S00000XCommunity/Behavioral Health Agency
8261QM0850XAdult Mental Health Clinic/Center
9101YA0400XAddiction (Substance Use Disorder) Counselor
10171M00000XCase Manager/Care Coordinator
11261QM0855XAdolescent and Children Mental Health Clinic/Center
12261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
13175T00000XPeer Specialist
14405300000XPrevention Professional
15101Y00000XCounselor

General Provider Information

NPI Number : 1194438473
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRAP INC
Provider Business Mailing Address
First Line : 21275 STICK ROSS MOUNTAIN RD
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-7343
Country : US
Telephone Number : 918-316-8180
Fax Number :
Provider Business Practice Location Address
First Line : 113 W KEETOOWAH ST
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-3819
Country : US
Telephone Number : 918-931-3700
Fax Number :
Authorized Official
Title or Position : MANAGER OF OPERATIONS
Name : BOBBY LEE HAYES
Credential :
Telephone Number : 918-772-7499
Provider Enumeration Date : 01/02/2023
Last Update Date : 01/22/2026

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Directions to “WRAP INC ” Practice Location

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