Mind Spa Llc

LBN: Mind Spa Llc
Mind Spa Llc is an health care organization with primary practice located at 7302 S Yale Ave , Tulsa OK 74136-7027. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Mind Spa Llc can be contacted via phone (918) 591-2510, or through Land, Sarah E via phone (918) 591-2510.

Contact Information

Primary practice address
7302 S Yale Ave Tulsa OK 74136-7027
Phone: (918) 591-2510
Fax: (918) 591-2511
Website:
Map and Directions
Authorized official contact:
Name: Land, Sarah E Doctor of Osteopathy (DO)
Phone: (918) 591-2510

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2641 Oklahoma
Nursing Service Providers / Licensed Practical Nurse 164W00000X 63489 Oklahoma
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4200 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1891932216
LBN Legal business name Mind Spa Llc
DBA Doing business as
Authorized official Land, Sarah E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2009
Last updated Sep 30th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891932216 NPPES
Oklahoma MEDICAID 200060070A
Oklahoma MEDICAID 200225500A

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