LIFE MIND , PLLC (NPI# 1578061578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578061578 |
| Entity Type | Organization |
| Organization Name | LIFE MIND , PLLC |
| Practice Address |
2624 E 22nd Pl Tulsa OK 74114-3131 |
| Practice Telephone | 9187601098 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | LINDA BARNUM (THERAPIST) |
| Authorized Official Telephone | 9187601098 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
4777 | OK | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4777 | OK | Ambulatory Health Care Facilities |
| Street Address |
2624 E 22ND PL |
| City | TULSA |
| State | OK |
| Zip Code | 74114-3131 |
| 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 | 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 |
| 1396373064 | Sublime Therapy Group LLC | Clinic/Center | 4815 S Harvard Ave Ste 480, Tulsa, OK 74135-3050 | 2020-03-30 |
| 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 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on LIFE MIND , PLLC.
| 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.