Provider Demographics
NPI:1952993180
Name:FEELS ON WHEELS, LLC
Entity Type:Organization
Organization Name:FEELS ON WHEELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-640-5004
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:SKIATOOK
Mailing Address - State:OK
Mailing Address - Zip Code:74070-0151
Mailing Address - Country:US
Mailing Address - Phone:918-322-1187
Mailing Address - Fax:
Practice Address - Street 1:1253 W 166TH ST N
Practice Address - Street 2:
Practice Address - City:SKIATOOK
Practice Address - State:OK
Practice Address - Zip Code:74070-3751
Practice Address - Country:US
Practice Address - Phone:918-322-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200643110AMedicaid