# MOSAIC FAMILY THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831053131
- **Authorized official:** MRS. LESLIE KEENAN LMFT (OWNER)
- **Authorized official phone:** (918) 606-1314

## Contact information

- **Practice address:** 6711 S YALE AVE STE 106, TULSA, OK 74136-3317
- **Practice address phone:** (918) 606-1314
- **Practice address fax:** (539) 233-1536
- **Mailing address:** 12515 E 134TH ST S, BROKEN ARROW, OK 74011-7437
- **Mailing address phone:** (918) 606-1314
- **Mailing address fax:** (539) 233-1536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/16/2025
