Gravel Road, LLC
NPI #1154693349 in Bartlesville, Oklahoma
Provider Information
- NPI Number
- 1154693349
- Entity Type
- Organization
- Organization Name
- Gravel Road, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 2, 2012
- Last Updated
- Feb 2, 2012
Practice Location
- Address
- 3820 SILVER LAKE VW
- City
- Bartlesville
- State
- Oklahoma
- ZIP Code
- 74006-7341
- Phone
- (918) 766-6368
Authorized Official
- Name
- MRS. JENNIFER BREWINGTON
- Title
- CEO
- Phone
- (918) 766-6368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Counselor - Mental Health — Mental Health |
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