Integrated Renegade, LLC
Integrated Renegade, LLC is a Community/Behavioral Health Agency in Glenpool, Oklahoma. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1264 E 139th PlGlenpool, OK 74033-3125
Phone: (918) 321-0697
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1366223265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Petra Russell — Owner · (918) 321-0697 |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 8, 2023 |
| Mailing address | 1264 E 139th Pl, Glenpool, OK 74033-3125 |