Organization
MENTAL HEALTH VITALITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENAYE HAILU LMFT (MANAGER)
(918) 740-6195
Entity
Organization
Contact information
Practice address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(918) 740-6195
Mailing address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(918) 740-6195
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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