MEDICARE: MOSAIC FAMILY THERAPY, PLLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1831053131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC FAMILY THERAPY, PLLC

Provider Business Mailing Address
First Line	:	12515 E 134TH ST S
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74011-7437
Country	:	US
Telephone Number	:	918-606-1314
Fax Number	:	539-233-1536

Provider Business Practice Location Address
First Line	:	6711 S YALE AVE STE 106
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3317
Country	:	US
Telephone Number	:	918-606-1314
Fax Number	:	539-233-1536

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LESLIE KEENAN
Credential	:	LMFT
Telephone Number	:	918-606-1314

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

Similar Medicare Providers

1144743923 — AMIR G ABDELMALIK MD PLLC
Practice Location Address:

6711 S YALE AVE STE 104
TULSA, OK
74136-3317

Practice Phone: 918-522-7200
Practice Fax: 918-522-7201

1245122308 — GRACE CATHERINE GRAHAM
Practice Location Address:

6711 S YALE AVE STE 106
TULSA, OK
74136-3317

Practice Phone: 918-488-8002
Practice Fax:

1992676829 — SARAH IRENE MCGUNEGILL
Practice Location Address:

6711 S YALE AVE STE 106
TULSA, OK
74136-3317

Practice Phone: 918-488-8002
Practice Fax:

1720941446 — SARAH J PALMER RN
Practice Location Address:

6161 S YALE AVE
TULSA, OK
74136-1902

Practice Phone: 918-494-1190
Practice Fax:

1952665192 — SRI RAMA SURYA TEZ KATTULA M.D
Practice Location Address:

6161 S YALE AVE
TULSA, OK
74136

Practice Phone: 918-502-1900
Practice Fax: 918-494-6303

1447148093 — IES ER OKLAHOMA LLC
Practice Location Address:

6161 S YALE AVE
TULSA, OK
74136-1902

Practice Phone: 918-494-2200
Practice Fax:

Directions to “MOSAIC FAMILY THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.