Organization
NOURISHED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEL BUERSMEYER LMFT (THERAPIST)
(405) 242-5305
Entity
Organization
Contact information
Practice address
10400 VINEYARD BLVD STE B, OKLAHOMA CITY, OK 73120-3830
(405) 242-5305
(405) 242-5345
Mailing address
10400 VINEYARD BLVD STE A, OKLAHOMA CITY, OK 73120-3830
(405) 242-5305
(405) 242-5345
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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