| Healing Heart And Mind Counseling, Llc | |
|
222 E Grand Ave Suite 300 Ponca City OK 74601-4316 | |
| (580) 491-1671 | |
| Not Available |
| Full Name | Healing Heart And Mind Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 E Grand Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Jessica A Kozarevich (OWNER) |
| Authorized Official Contact | 5804911671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Heart And Mind Counseling, Llc 222 E Grand Ave Suite 300 Ponca City OK 74601-4316 Ph: (580) 491-1671 | Healing Heart And Mind Counseling, Llc 222 E Grand Ave Suite 300 Ponca City OK 74601-4316 Ph: (580) 491-1671 |
| NPI Number | 1821403643 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821403643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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