Organization
G.R.A.C.E TO EVOLVE, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKENDRA HAMLIN LMSW (OWNER/THERAPIST)
(918) 407-3076
Entity
Organization
Contact information
Practice address
9410 S 92ND EAST AVE, TULSA, OK 74133-5625
(918) 407-3076
Mailing address
9410 S 92ND EAST AVE, TULSA, OK 74133-5625
(918) 407-3076
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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