Organization · Type 2 NPI

Addiction Management LLC

General Practice Physician · Tulsa, OK

NPI number 1154190692 Active

Practice location

3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

31 other providers at this address

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NPI record

NPI: 1154190692
Entity type: Organization (Type 2)
Issued: Dec 26, 2023
Last updated: Dec 27, 2023
Status: Active

Other names

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Addiction Management LLC · doing business as
Addiction Management LLC · doing business as

Authorized official

Mr. Gregory Berenato
Owner
(918) 509-5000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154190692

Addiction Management LLC's National Provider Identifier is 1154190692, issued on Dec 26, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 27, 2023.