Green Mental Health Pllc | |
14209 Sw 50th Ct Yukon OK 73099-2800 | |
(405) 265-8565 | |
Not Available |
Full Name | Green Mental Health Pllc |
---|---|
Speciality | Counselor |
Location | 14209 Sw 50th Ct, Yukon, Oklahoma |
Authorized Official Name and Position | Casey Green (OWNER) |
Authorized Official Contact | 4052658565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Green Mental Health Pllc 14209 Sw 50th Ct Yukon OK 73099-2800 Ph: (405) 265-8565 | Green Mental Health Pllc 14209 Sw 50th Ct Yukon OK 73099-2800 Ph: (405) 265-8565 |
NPI Number | 1225775281 |
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Provider Enumeration Date | 05/19/2022 |
Last Update Date | 05/19/2022 |
Certification Date | 05/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225775281 | NPI | - | NPPES |
5684 | Other | OK | LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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