Provider Demographics
NPI:1073498366
Name:A NEW LEAF, INC.
Entity type:Organization
Organization Name:A NEW LEAF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PROGRAMS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-451-1491
Mailing Address - Street 1:8535 N MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-6929
Mailing Address - Country:US
Mailing Address - Phone:918-451-1491
Mailing Address - Fax:539-367-3299
Practice Address - Street 1:8535 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-6929
Practice Address - Country:US
Practice Address - Phone:918-451-1491
Practice Address - Fax:539-367-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care