MEDICARE: VICTORIA AVIV

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
1	101YP2500X	Professional Counselor		OK

General Provider Information

NPI Number	:	1205544764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA AVIV

Provider Business Mailing Address
First Line	:	8718 E 134TH ST S
Second Line	:
City	:	BIXBY
State	:	OK
Zip	:	74008-3425
Country	:	US
Telephone Number	:	619-665-9918
Fax Number	:

Provider Business Practice Location Address
First Line	:	7914 E 106TH ST STE 202
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-6802
Country	:	US
Telephone Number	:	619-665-9918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	04/11/2026

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Directions to “ VICTORIA AVIV ” Practice Location

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