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NPI Code Detail

MEDICARE: COUNSELING & RECOVERY SERVICES OF OKLAHOMA, INC.

MEDICARE: COUNSELING & RECOVERY SERVICES OF OKLAHOMA, 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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851455620
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING & RECOVERY SERVICES OF OKLAHOMA, INC.
Provider Business Mailing Address
First Line : 7010 S YALE AVE
Second Line : SUITE 215
City : TULSA
State : OK
Zip : 74136-5713
Country : US
Telephone Number : 918-492-2554
Fax Number : 918-494-9870
Provider Business Practice Location Address
First Line : 7010 S YALE AVE
Second Line : SUITE 215
City : TULSA
State : OK
Zip : 74136-5713
Country : US
Telephone Number : 918-492-2554
Fax Number : 918-494-9870
Authorized Official
Title or Position : CONTROLLER
Name : MS. TAMARA L HORNE
Credential :
Telephone Number : 918-492-2554
Provider Enumeration Date : 12/19/2006
Last Update Date : 06/01/2011

Similar Medicare Providers

1770646135 — ASSOCIATED CENTERS FOR THERAPY, INC.
Practice Location Address:
7010 S YALE AVE , SUITE 215
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1023172897 — ASSOCIATED CENTERS FOR THERAPY, INC.
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1033274964 — DR. STANLEY SCOTT HANAN M.D.
Practice Location Address:
7010 S YALE AVE , SUITE 215
TULSA, OK
74136-5713
Practice Phone: 918-492-2554
Practice Fax: 918-494-9870
1073640306 — MRS. LUCINDA LEE MORTE
Practice Location Address:
7010 S YALE AVE , SUITE 215
TULSA, OK
74136-5713
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Practice Fax: 918-494-9870
1669674628 — DR. BRYAN K. BLANKENSHIP PH.D.
Practice Location Address:
7010 S YALE AVE , SUITE 215
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1619179652 — MS. APRIL L. HARDING B.A., CM
Practice Location Address:
7010 S YALE AVE , SUITE 100
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74136-5713
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Practice Fax:

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