| Hope Revealed Llc | |
|
2218 N Kickapoo Ave Shawnee OK 74804-2703 | |
| (405) 596-3833 | |
| Not Available |
| Full Name | Hope Revealed Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2218 N Kickapoo Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Serena Ward (OWNER) |
| Authorized Official Contact | 4055963833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Revealed Llc 2218 N Kickapoo Ave Shawnee OK 74804-2703 Ph: (405) 596-3833 | Hope Revealed Llc 2218 N Kickapoo Ave Shawnee OK 74804-2703 Ph: (405) 596-3833 |
| NPI Number | 1801234042 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801234042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4722 (Oklahoma) | Primary |
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