| Embrace Life Counseling Llc | |
|
10306 N 138th East Ave Ste 206 Owasso OK 74055-4679 | |
| (918) 212-6196 | |
| (918) 520-1202 |
| Full Name | Embrace Life Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10306 N 138th East Ave Ste 206, Owasso, Oklahoma |
| Authorized Official Name and Position | Kimberly Petty (LPC AND OWNER) |
| Authorized Official Contact | 9182126196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Life Counseling Llc 10306 N 138th East Ave Ste 206 Owasso OK 74055-4679 Ph: (918) 212-6196 | Embrace Life Counseling Llc 10306 N 138th East Ave Ste 206 Owasso OK 74055-4679 Ph: (918) 212-6196 |
| NPI Number | 1952881427 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952881427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5565 (Oklahoma) | Primary |
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