Melissa Ann Kantola | Tulsa, OK • PECOS Search

Melissa Ann Kantola

Social Worker

Behavioral Health & Social Service Providers

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

(918) 492-2554 (210) 393-9159

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Ann Kantola does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1538355276
Provider Type
Individual
Full Name
Kantola, Melissa Ann
Credential
BS

Gender
Female
Sole Proprietor
No
Enumeration Date
9/17/2007
Last Updated
9/17/2007

Contact Information

Practice Location

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

(918) 494-9870

Mailing Location

8119 S 77th East Ave, Tulsa, OK 74133-4045

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Oklahoma