GRAVEL ROAD, LLC
NPI 1154693349
Counselor - Mental Health in Bartlesville, OK

Q: What is Gravel Road, LLC's NPI number?

The NPI number for Gravel Road, LLC is 1154693349. It was assigned to this organization in the NPPES registry on February 2, 2012.

Q: What is Gravel Road, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Gravel Road, LLC was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2012

3820 SILVER LAKE VW, BARTLESVILLE, OK 74006(918) 766-6368 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gravel Road, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAVEL ROAD, LLC (NPI 1154693349) is a healthcare organization registered as a mental health in Bartlesville, Oklahoma and active in the NPI registry since February 2012. The organization lists Jennifer Brewington, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154693349

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameGRAVEL ROAD, LLC

Location Address3820 SILVER LAKE VWBartlesville, OK 74006-7341

Mailing Address3820 Silver Lake VwBartlesville, OK 74006-7341 · (918) 766-6368

Phone(918) 766-6368

Organization SubpartNo

Authorized OfficialJennifer BrewingtonCeo · (918) 766-6368

Enumeration DateFebruary 2, 2012

✔ NPI 1154693349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

3820 SILVER LAKE VW, Bartlesville, OK 74006

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gravel Road, LLC's NPI number?

The NPI number for Gravel Road, LLC is 1154693349. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Gravel Road, LLC located?

Gravel Road, LLC is located at 3820 Silver Lake Vw, Bartlesville, OK 74006. The listed phone number is (918) 766-6368.

What is Gravel Road, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gravel Road, LLC was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.