Gravel Road, Llc

LBN: Gravel Road, Llc
Gravel Road, Llc is an health care organization with primary practice located at 3820 Silver Lake Vw , Bartlesville OK 74006-7341. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Gravel Road, Llc can be contacted via phone (918) 766-6368, or through Brewington, Jennifer via phone (918) 766-6368.

Contact Information

Primary practice address
3820 Silver Lake Vw Bartlesville OK 74006-7341
Phone: (918) 766-6368
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewington, Jennifer
Phone: (918) 766-6368

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1154693349
LBN Legal business name Gravel Road, Llc
DBA Doing business as
Authorized official Brewington, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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