| Afresh Mind Llc | |
|
7643 E 126th St S Ste 217d Bixby OK 74008-2988 | |
| (918) 280-9098 | |
| Not Available |
| Full Name | Afresh Mind Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7643 E 126th St S Ste 217d, Bixby, Oklahoma |
| Authorized Official Name and Position | Laqueta Jackson (OWNER) |
| Authorized Official Contact | 9182809098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afresh Mind Llc 7643 E 126th St S Ste 217d Bixby OK 74008-2988 Ph: () - | Afresh Mind Llc 7643 E 126th St S Ste 217d Bixby OK 74008-2988 Ph: (918) 280-9098 |
| NPI Number | 1104661941 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104661941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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