Organization
BREAKTHROUGH FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE VERNETTA ALEXANDER LMFT (EXECUTIVE DIRECTOR)
(918) 691-2575
Entity
Organization
Contact information
Practice address
3015 E SKELLY DR, 211-7, TULSA, OK 74105-6317
(918) 691-2575
Mailing address
PO BOX 33354, TULSA, OK 74153-3354
(918) 691-2575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1044
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003070160
—
OK
Enumeration date
02/03/2017
Last updated
02/28/2018
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