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Organization

COLLECTIVE HEALTH & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIERRA J PAGE APRN (OWNER/PRESIDENT)
(405) 209-2083
Entity
Organization

Contact information

Practice address
1330 N CLASSEN BLVD STE 116, OKLAHOMA CITY, OK 73106-6834
(405) 953-6888
Mailing address
9325 EMILY LN, MIDWEST CITY, OK 73130-4330
(405) 209-2083
(888) 875-1829

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/21/2023
Last updated
02/13/2025
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