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NPI Code Detail

MEDICARE: CIRCLE OF CARE, INC

MEDICARE: CIRCLE OF CARE, 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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker
4171M00000XCase Manager/Care Coordinator
5251B00000XCase Management Agency
6253J00000XFoster Care Agency
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
8261QM0850XAdult Mental Health Clinic/Center
9261QM0855XAdolescent and Children Mental Health Clinic/Center
10251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1437625654
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLE OF CARE, INC
Provider Business Mailing Address
First Line : 1616 N GILCREASE MUSEUM RD
Second Line :
City : TULSA
State : OK
Zip : 74127-2101
Country : US
Telephone Number : 405-698-0550
Fax Number :
Provider Business Practice Location Address
First Line : 1616 N GILCREASE MUSEUM RD
Second Line :
City : TULSA
State : OK
Zip : 74127-2101
Country : US
Telephone Number : 405-698-0550
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : JAMI KRISTEN PEREIRA
Credential : LCSW
Telephone Number : 405-698-0550
Provider Enumeration Date : 10/15/2018
Last Update Date : 03/01/2024

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