SUBLIME THERAPY GROUP LLC (NPI# 1396373064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396373064 |
| Entity Type | Organization |
| Organization Name | SUBLIME THERAPY GROUP LLC |
| Practice Address |
4815 S Harvard Ave Ste 480 Tulsa OK 74135-3050 |
| Practice Telephone | 9189732256 |
| Mailing Telephone | 9189732256 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | MRS. SARAH RUPNOW (OWNER) |
| Authorized Official Telephone | 9183442353 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4815 S HARVARD AVE STE 480 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104011865 | Cynthia Ann Kramer Wolf | Counselor | 4815 S Harvard Ave Ste 480, Tulsa, OK 74135-3050 | 2007-09-06 |
| 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 Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304254 | Serenity Counseling LLC | Clinic/Center | 5103 S Sheridan Rd # 323, Tulsa, OK 74145-7627 | 2018-04-24 |
| 1912337643 | Latanya Dodd | Clinic/Center | 1540 E 68th Pl, Tulsa, OK 74136 | 2013-11-15 |
| 1679764807 | Riverside Counseling Services | Clinic/Center | 5272 S Lewis Ave Ste 250, Tulsa, OK 74105-6564 | 2007-08-05 |
| 1134750649 | Parkside, Inc. | Clinic/Center | 1239 S Trenton Ave, Tulsa, OK 74120-5420 | 2020-02-03 |
| 1902367618 | Ketcen of Tulsa LLC | Clinic/Center | 9840 E 81st St Ste 100, Tulsa, OK 74133-4583 | 2019-03-26 |
| 1841763406 | J Ross Inc. | Clinic/Center | 5215 E 71st St, Tulsa, OK 74136-6341 | 2019-01-07 |
| 1194297341 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 1805 E 15th St, Tulsa, OK 74104-4610 | 2018-12-28 |
| 1093234361 | Joseph Nowicki | Clinic/Center | 2323 S Harvard Ave, Tulsa, OK 74114-3301 | 2017-09-18 |
| 1740621549 | Peter Alan Rao, M.d., Pllc | Clinic/Center | 5544 S Lewis Ave, Suite 600, Tulsa, OK 74105-7105 | 2013-07-10 |
| 1083740351 | Alternative Opportunities Inc. | Clinic/Center | 5525 E 51st St, Suite #400, Tulsa, OK 74135-7461 | 2007-02-23 |
| 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.