Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Victory Grace Healing Mental Health Services, LLC

Organization Psychiatry Physician · NPI 1790504645

Victory Grace Healing Mental Health Services, LLC provides Psychiatry Physician services in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3171 S 129th East Ave # A2076
Tulsa, OK 74134-3205
Phone: (918) 428-8713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1790504645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Channel Johnson — Owner · (918) 428-8713
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address3171 S 129th East Ave # A2076, Tulsa, OK 74134-3205

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