Organization
LIFE MIND , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BARNUM LPC (THERAPIST)
(918) 760-1098
Entity
Organization
Contact information
Practice address
2624 E 22ND PL, TULSA, OK 74114-3131
(918) 760-1098
Mailing address
2624 E 22ND PL, TULSA, OK 74114-3131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4777
OK
261QM0855X
Adolescent and Children Mental Health Clinic/Center
4777
OK
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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