| Bridge To Wellness, Llc | |
|
6706 E 136th St N Collinsville OK 74021-5774 | |
| (918) 949-0027 | |
| Not Available |
| Full Name | Bridge To Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6706 E 136th St N, Collinsville, Oklahoma |
| Authorized Official Name and Position | Stacy Lookout (MEMBER) |
| Authorized Official Contact | 9189490027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Wellness, Llc 6706 E 136th St N Collinsville OK 74021-5774 Ph: () - | Bridge To Wellness, Llc 6706 E 136th St N Collinsville OK 74021-5774 Ph: (918) 949-0027 |
| NPI Number | 1316720733 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 10/01/2023 |
| Certification Date | 09/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316720733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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