BEHAVIORAL WELLNESS, LLC (NPI# 1700313491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700313491 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL WELLNESS, LLC |
| Practice Address |
3010 S Harvard Ave Ste 110 Tulsa OK 74114-6124 |
| Practice Telephone | 9187491840 |
| Practice Fax Number | 9187491841 |
| Mailing Telephone | 9187491840 |
| Mailing Fax Number | 9187491841 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | KRUPA K HEGDE (OWNER) |
| Authorized Official Telephone | 9187491840 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1281 | OK | Behavioral Health & Social Service Providers |
| Street Address |
3010 S HARVARD AVE STE 110 |
| City | TULSA |
| State | OK |
| Zip Code | 74114-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740322437 | Dianna Marie Jurena | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2007-02-12 |
| 1780241612 | Keelie Hamm | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2019-05-27 |
| 1972168359 | Jo Ann Jody Anderson | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2019-05-01 |
| 1942703558 | Do No Harm Therapeutic Group, LLC | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2018-03-10 |
| 1265945984 | Segue Employee Assistance Program | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2017-11-16 |
| 1750764072 | Janet Borden, Lcsw, Pllc | Social Worker | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2015-07-06 |
| 1669710281 | Ashley Marie Kelley | Social Worker | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114 | 2013-01-17 |
| 1275833147 | Allison Marie Mason | Social Worker | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114 | 2010-10-26 |
| 1245483114 | Laura Ann Byler | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114-6126 | 2008-10-23 |
| 1932385465 | Megan Williams | Counselor | 3010 S Harvard Ave Ste 110, Tulsa, OK 74114 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979340 | Tulsa Children's Development Center | Psychologist | 6931 S 66th East Ave Ste 200, Tulsa, OK 74133-1765 | 2019-12-19 |
| 1770084600 | Lisa Cromer | Psychologist | 8810 S Yale Ave Ste J, Tulsa, OK 74137-3551 | 2018-02-26 |
| 1124557426 | State of Oklahoma - Osu Center for Health Science College of Osteopath | Psychologist | 2488 E 81st St Ste 3700, Tulsa, OK 74137-4290 | 2017-06-08 |
| 1518339829 | Nathan Brusich | Psychologist | 5230 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-26 |
| 1649530023 | Namik Kirlic | Psychologist | 1304 W Easton St, Tulsa, OK 74127-6903 | 2012-05-21 |
| 1336448455 | Victoria Leigh Tracy | Psychologist | 7146 S Braden Ave Ste 700, Tulsa, OK 74136-6335 | 2011-03-16 |
| 1598061780 | Diane Constance Kirk | Psychologist | 3010 S Harvard Avenue, Suite 110, Tulsa, OK 74114-6124 | 2011-02-04 |
| 1841509197 | Victoria Lee Mccoy | Psychologist | 6655 S. Yale A, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136 | 2010-10-05 |
| 1023295672 | John Stewart II | Psychologist | 5100 E Skelly Dr Ste 130, Tulsa, OK 74135 | 2008-01-25 |
| 1952506727 | Horace Wade Bedwell | Psychologist | 7945 S Lakewood Ave, Tulsa, OK 74136-9106 | 2007-06-20 |
| Find all providers in TULSA | ||||
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| 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.