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LIBERTAD WELLNESS CENTER LLC
NPI 1295583508
Nurse Practitioner - Psychiatric/Mental Health in Oklahoma City, OK

Active since May 10, 2024
2915 N CLASSEN BLVD STE 120-F509, OKLAHOMA CITY, OK 73106(405) 689-9303(405) 229-5071 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, May 10, 2024 (2 updates tracked since 2024).

About Libertad Wellness Center Llc NPPES

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

LIBERTAD WELLNESS CENTER LLC (NPI 1295583508) is a healthcare organization registered as a psychiatric/mental health in Oklahoma City, Oklahoma and active in the NPI registry since May 2024. The organization lists Prudencia Ijeoma Tankeu, Manager, as its authorized official.

NPPES Registry Identity

NPI1295583508
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIBERTAD WELLNESS CENTER LLC
Location Address2915 N CLASSEN BLVD STE 120-F509Oklahoma City, OK 73106-5400
Mailing Address2915 N Classen Blvd Ste 120-f509Oklahoma City, OK 73106-5400 · (405) 689-9303 · Fax (405) 229-5071
Phone(405) 689-9303
Fax(405) 229-5071
Organization SubpartNo
Authorized OfficialPrudencia Ijeoma TankeuManager · (405) 689-9303
Enumeration DateMay 10, 2024
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1295583508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2915 N CLASSEN BLVD STE 120-F509, Oklahoma City, OK 73106
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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 Libertad Wellness Center LLC's NPI number?

The NPI number for Libertad Wellness Center LLC is 1295583508. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Libertad Wellness Center LLC located?

Libertad Wellness Center LLC is located at 2915 N Classen Blvd Ste 120-F509, Oklahoma City, OK 73106. The listed phone number is (405) 689-9303.

What is Libertad Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Libertad Wellness Center LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Libertad Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Libertad Wellness Center LLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.