| Hip-enterprizes Ltd | |
|
505 Ne 12th St Moore OK 73160-5807 | |
| (405) 447-6188 | |
| (405) 735-5265 |
| Full Name | Hip-enterprizes Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 505 Ne 12th St, Moore, Oklahoma |
| Authorized Official Name and Position | Irwin Hall Iii (DIRECTOR) |
| Authorized Official Contact | 4054476188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hip-enterprizes Ltd 505 Ne 12th St Moore OK 73160-5807 Ph: (405) 447-6188 | Hip-enterprizes Ltd 505 Ne 12th St Moore OK 73160-5807 Ph: (405) 447-6188 |
| NPI Number | 1225222763 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225222763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC673 (Oklahoma) | Primary |
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