| Cooper Counseling Services Pllc | |
|
10310 N 138th East Ave Ste 201 Owasso OK 74055-4641 | |
| (405) 254-6081 | |
| Not Available |
| Full Name | Cooper Counseling Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10310 N 138th East Ave Ste 201, Owasso, Oklahoma |
| Authorized Official Name and Position | Misty Cooper (OWNER) |
| Authorized Official Contact | 9186059202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Counseling Services Pllc 10310 N 138th East Ave Ste 201 Owasso OK 74055-4641 Ph: (405) 254-6081 | Cooper Counseling Services Pllc 10310 N 138th East Ave Ste 201 Owasso OK 74055-4641 Ph: (405) 254-6081 |
| NPI Number | 1295393387 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295393387 | NPI | - | NPPES |
| 200474420 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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