Individual ProviderZachary Hamilton AverySocial WorkerBehavioral Health & Social Service ProvidersPractice Address6216 S Lewis Ave Ste 102, Tulsa, OK 74136-1075(918) 268-7327(918) 282-7847PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Hamilton Avery does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1932816360Provider TypeIndividualFull NameAvery, Zachary HamiltonCredentialLMSW, LMT, TIYTGenderMaleSole ProprietorNoEnumeration Date11/4/2022Last Updated12/19/2023Contact InformationPractice LocationPractice Address6216 S Lewis Ave Ste 102, Tulsa, OK 74136-1075Phone(918) 268-7327FaxUnlisted FaxMailing LocationMailing Address7335 S Utica Ave Apt 1102, Tulsa, OK 74136-7329Phone(918) 282-7847FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense20224OklahomaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer