MENTAL HEALTH VITALITY, LLC (NPI# 1659903409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659903409 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH VITALITY, LLC |
| Practice Address |
7633 E 63rd Pl Ste 300 Tulsa OK 74133-1202 |
| Practice Telephone | 9187406195 |
| Mailing Telephone | 9187406195 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | TENAYE HAILU (MANAGER) |
| Authorized Official Telephone | 9187406195 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MENTAL HEALTH VITALITY, LLC | 1217 S Magnolia Ave., Broken Arrow, OK 74012 |
| Street Address |
7633 E 63RD PL STE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942370267 | Nicole Bernard Washington | Psychiatry & Neurology | 7633 E 63rd Pl Ste 300, Tulsa, OK 74133-1202 | 2006-11-08 |
| 1972126357 | Elocin Psychiatric Services, Pllc | Psychiatry & Neurology | 7633 E 63rd Pl Ste 300, Tulsa, OK 74133-1202 | 2020-05-20 |
| 1134698434 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 7633 E 63rd Pl Ste 300, Tulsa, OK 74133-1202 | 2018-11-15 |
| 1336387315 | Tenaye Hailu | Marriage & Family Therapist | 7633 E 63rd Pl Ste 300, Tulsa, OK 74133-1202 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| 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 |
| 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.