Provider Demographics
NPI:1386482172
Name:BEKTESHI, VENERA (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:VENERA
Middle Name:
Last Name:BEKTESHI
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NW 10TH ST APT 458
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6930
Mailing Address - Country:US
Mailing Address - Phone:058-089-0854
Mailing Address - Fax:
Practice Address - Street 1:WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Practice Address - Street 2:6944 HIGHWAY 85 SUITE F
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274
Practice Address - Country:US
Practice Address - Phone:770-683-6946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW011986104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker