12&12 INC OUTPATIENT SERVICES


Address: 6333 E Skelly Dr, Tulsa, OK 74135-6106
Phone: 9186644224

12&12 INC OUTPATIENT SERVICES (NPI# 1366802860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366802860
Entity Type Organization
Organization Name 12&12 INC OUTPATIENT SERVICES
Practice Address 6333 E Skelly Dr
Tulsa
OK 74135-6106
Practice Telephone 9186644224
Practice Fax Number 9186648732
Mailing Telephone 9186644224
Mailing Fax Number 9186648732
Enumeration Date 2016-02-26
Last Update Date 2016-02-26
Authorized Official Name MS. DAWN L OFFICER (DIRECTOR OF FINANCE)
Authorized Official Telephone 9186644224
Is Organization Subpart Y
Parent Organization Name 12&12 INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
OK Ambulatory Health Care Facilities

Office Location

Street Address 6333 E SKELLY DR
City TULSA
State OK
Zip Code 74135-6106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053317883 12 & 12, Inc. Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2005-06-27
1720685175 Jesse Misthaven Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-10-07
1699372482 Christine Reynold Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-10-05
1679185920 Kacey Ann Cottrell Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-08-18
1861003931 Matthew Schane Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-08-12
1841817368 Bernadette Bouciquot Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-30
1568088011 Brenda Kay Kuntzelman Licensed Practical Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-21
1023634698 Kelli Ann Ordorica Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-19
1215552120 Amanda Lindsey Spicer Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-16
1619592672 Tieraney Candice Rodriguez Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
Find all providers in zip 74135

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649870742 Sequelcare of Oklahoma, LLC Clinic/Center 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 2020-10-28
1295342046 Integrative Healthcare Solutions LLC Clinic/Center 2227 E 8th St, Tulsa, OK 74104-3237 2020-09-25
1659904076 Grand Lake Mental Health Center Inc Clinic/Center 4815 S Harvard Ave Ste 420, Tulsa, OK 74135-3068 2020-02-13
1487201133 Grand Lake Mental Health Center, Inc. Clinic/Center 7307 S Yale Ave, Suite 101, Tulsa, OK 74136-7134 2019-08-19
1235694803 Genes Progeny Clinic/Center 9243 S 91st East Ave, Tulsa, OK 74133-5645 2019-02-07
1588136758 Grand Lake Mental Health Center Inc Clinic/Center 4815 S. Harvard, Suite 420, Tulsa, OK 74135-3068 2018-12-27
1730606153 Consolation Counseling Services, LLC Clinic/Center 2326 S Garnett Rd Ste K, Tulsa, OK 74129-5118 2017-08-25
1326569252 Gilead Counseling Center LLC Clinic/Center 2448 E 81st St Ste 2045, Tulsa, OK 74137-4271 2017-06-30
1578580916 State of Oklahoma Clinic/Center 2323 S Harvard Ave, Tulsa, OK 74114-3301 2006-07-15
1013527944 Shanna Eischen Consulting and Counseling LLC Clinic/Center 6308 E 15th St Ste 2c, Tulsa, OK 74112-6411 2020-08-05
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Competitor

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City TULSA
Zip Code 74135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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