| Community Counseling Of Owasso, Llc | |
|
10306 N 138th East Ave Suite 206 Owasso OK 74055-4665 | |
| (918) 636-5234 | |
| Not Available |
| Full Name | Community Counseling Of Owasso, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10306 N 138th East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Heidi Hills (THERAPIST) |
| Authorized Official Contact | 9186365234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Of Owasso, Llc 10306 N 138th East Ave Suite 206 Owasso OK 74055-4665 Ph: (918) 636-5234 | Community Counseling Of Owasso, Llc 10306 N 138th East Ave Suite 206 Owasso OK 74055-4665 Ph: (918) 636-5234 |
| NPI Number | 1063946168 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063946168 | NPI | - | NPPES |
| 200546520A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6134 (Oklahoma) | Primary |
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