OrganizationActive
Behavioral Wellness, LLC
NPI 1700313491 · Clinical Psychologist · Tulsa, OK
Provider details
- NPI number
- 1700313491
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Krupa Hegde, Owner(918) 749-1840
- License
- 1281 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3010 S Harvard Ave Ste 110
Tulsa, OK 74114-6124
Phone: (918) 749-1840
Fax: (918) 749-1841
Approximate (ZIP-level) locationGet directions
Mailing address
3010 S Harvard Ave Ste 110
Tulsa, OK 74114-6124
Registry dates
- Enumerated
- 2017-05-12
- Last updated
- 2017-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.