MEDICARE: HEALTH CONCEPTS FAMILY SERVICES LLC

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	251S00000X	Community/Behavioral Health Agency		OK

General Provider Information

NPI Number	:	1518197474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CONCEPTS FAMILY SERVICES LLC

Provider Business Mailing Address
First Line	:	1843 E 15TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4610
Country	:	US
Telephone Number	:	918-712-8800
Fax Number	:	918-712-8802

Provider Business Practice Location Address
First Line	:	1843 E 15TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4610
Country	:	US
Telephone Number	:	918-712-8800
Fax Number	:	918-712-8802

Authorized Official
Title or Position	:	CEO
Name	:	MARK E TURNER
Credential	:	LPC, LBP, LADC
Telephone Number	:	918-712-8800

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	08/14/2012

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