| Full Circle Youth And Family Services, Pllc | |
|
1212 S Air Depot Blvd 19 B Midwest City OK 73110-4870 | |
| (405) 455-7244 | |
| (405) 455-7292 |
| Full Name | Full Circle Youth And Family Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1212 S Air Depot Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Luquetta Donyelle Mcclarty (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4054557244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Youth And Family Services, Pllc Po Box 96963 Oklahoma City OK 73143-6963 Ph: (405) 455-7244 | Full Circle Youth And Family Services, Pllc 1212 S Air Depot Blvd 19 B Midwest City OK 73110-4870 Ph: (405) 455-7244 |
| NPI Number | 1962741207 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962741207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4938 (Oklahoma) | Primary |
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