IndividualActive
Astou Mbacke, BHRS
NPI 1508137688 · Community/Behavioral Health Agency · Tulsa, OK
Provider details
- NPI number
- 1508137688
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- BHRS
- Sex
- Female
- Sole proprietor
- Yes
Practice location
2921 E 91st St
Tulsa, OK 74137-3322
Phone: (918) 298-5059
Fax: (918) 298-3869
Mailing address
2921 E 91st St
Tulsa, OK 74137-3322
Registry dates
- Enumerated
- 2012-01-20
- Last updated
- 2012-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.