| Full Sail Behavioral Health Counseling Llc | |
|
3602 N Union Ave Shawnee OK 74804-2158 | |
| (918) 284-5658 | |
| Not Available |
| Full Name | Full Sail Behavioral Health Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3602 N Union Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Melissa Sue Upton (OWNER/OPERATOR) |
| Authorized Official Contact | 9182845658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Sail Behavioral Health Counseling Llc 3602 N Union Ave Shawnee OK 74804-2158 Ph: (918) 284-5658 | Full Sail Behavioral Health Counseling Llc 3602 N Union Ave Shawnee OK 74804-2158 Ph: (918) 284-5658 |
| NPI Number | 1730713538 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730713538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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