| Anchored Soul Counseling, Llc | |
|
1605 N Harrison St Shawnee OK 74804-4022 | |
| (405) 765-6188 | |
| Not Available |
| Full Name | Anchored Soul Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1605 N Harrison St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Braiden Nicole Green (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4057656188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Soul Counseling, Llc 5545 Coker Rd Shawnee OK 74804-0626 Ph: (405) 765-6188 | Anchored Soul Counseling, Llc 1605 N Harrison St Shawnee OK 74804-4022 Ph: (405) 765-6188 |
| NPI Number | 1861096489 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861096489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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