G.R.a.C.E to Evolve, L.L.C

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

G.R.A.C.E TO EVOLVE, L.L.C

Practice address

9410 S 92ND East Ave
Tulsa, OK 74133-5625

Phone

(918) 407-3076

NPI assigned

Jan 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Takendra Hamlin, LMSWNPI 1144711508

Title

Owner/Therapist

Phone

(918) 407-3076

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Takendra Hamlin, LCSW

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1144711508
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1881346401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 S 92ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335625",
            "telephone_number": "918-407-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 S 92ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335625",
            "telephone_number": "918-407-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.R.A.C.E TO EVOLVE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "TAKENDRA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "918-407-3076",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Fuson
• Donnie Fuston
• Gabriel Anthony Futischa
• G. Bryant Boyd
• G. Pete Dosser M.D., Inc.
• Elliott L Gabbin
• Ahmad Gaben, M.D.
• Ashley Dianne Gable, M.D.
• Ashley B Gabriel, LCSW
• Jean-Louis Gabriel, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.