Free Your Mind Counseling Llc | |
10802 Quail Plaza Dr Ste 208 Oklahoma City OK 73120-3121 | |
(405) 503-9444 | |
Not Available |
Full Name | Free Your Mind Counseling Llc |
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Speciality | Counselor |
Location | 10802 Quail Plaza Dr Ste 208, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Rachel Kirk (OWNER) |
Authorized Official Contact | 4055039444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Free Your Mind Counseling Llc 10802 Quail Plaza Dr Ste 208 Oklahoma City OK 73120-3121 Ph: (405) 503-9444 | Free Your Mind Counseling Llc 10802 Quail Plaza Dr Ste 208 Oklahoma City OK 73120-3121 Ph: (405) 503-9444 |
NPI Number | 1437758323 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 11/05/2024 |
Certification Date | 11/05/2024 |
Medicare PECOS PAC ID | 3173057767 |
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Medicare Enrollment ID | O20241105000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437758323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251B00000X | Case Management | (* (Not Available)) | Secondary |
Provider Name | Rachel D Kirk |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043573827 PECOS PAC ID: 8325572977 Enrollment ID: I20241105003804 |
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