Breana J Bohannan in Tulsa - Addiction (substance Use Disorder)

Breana J Bohannan - NPI 1710184676

Breana J Bohannan is a Addiction (substance Use Disorder) in Tulsa, Oklahoma. Breana J Bohannan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Breana J Bohannan is 1710184676. The last update date is 2018-12-28.

Breana J Bohannan's current location address is 4845 S Sheridan Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9183840002 and fax number 9183840004. The mailing address for Breana J Bohannan is 4845 S Sheridan Rd, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Breana J Bohannan
Address 4845 S Sheridan Rd, Tulsa, Oklahoma
Phone Number 9183840002
Fax Number 9183840004
Sole Proprietor N
Credentials MHR

NPI Number Detail

NPI Number 1710184676
Provider Enumeration Date 2007-07-02
Last Updated Date 2018-12-28

Provider Mailing Address Detail

Address 4845 S Sheridan Rd
City Tulsa
State Oklahoma (OK)
Post Code 741455751
Phone Number 9183840002
Fax Number 9183840004

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Breana J Bohannan

What is the unique 10-digit identifier code assigned to Breana J Bohannan by the Centers for Medicare & Medicaid Services?

The Breana J Bohannan has been issued the NPI (National Provider Identifier) 1710184676 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Breana J Bohannan is located?

The Breana J Bohannan is situated at the following address: 4845 S Sheridan Rd, Tulsa, OK, 741455751.

What is Breana J Bohannan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Breana J Bohannan's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date was the 1710184676 assigned to Breana J Bohannan?

The Breana J Bohannan was issued its 1710184676 on 2007-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Breana J Bohannan last refreshed?

The information related to the Breana J Bohannan, including its address, specialty, and other relevant details, was last updated on 2018-12-28.

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