Individual provider · Type 1 NPI

Amanda Etheridge

Community/Behavioral Health Agency · Tulsa, OK

NPI number 1104123405 Active

Practice location

6202 S Lewis Ave Ste J
Tulsa, OK 74136-1064

Call (918) 392-7988 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104123405

Amanda Etheridge's National Provider Identifier is 1104123405, issued on Feb 22, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 27, 2021.