| Foster Mental Health Llc | |
|
1712 W Canton Ct Broken Arrow OK 74012-6884 | |
| (918) 606-5674 | |
| Not Available |
| Full Name | Foster Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1712 W Canton Ct, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Julie Ann Foster (OWNER/THERAPIST) |
| Authorized Official Contact | 9186065674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Mental Health Llc 1712 W Canton Ct Broken Arrow OK 74012-6884 Ph: (918) 606-5674 | Foster Mental Health Llc 1712 W Canton Ct Broken Arrow OK 74012-6884 Ph: (918) 606-5674 |
| NPI Number | 1366282808 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366282808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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