| Individual And Family Matters Llc. | |
|
20216 E 43rd Pl S Broken Arrow OK 74014-1595 | |
| (918) 313-5835 | |
| Not Available |
| Full Name | Individual And Family Matters Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20216 E 43rd Pl S, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Marquita Tolbert (THERAPIST) |
| Authorized Official Contact | 9183135835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Matters Llc. 20216 E 43rd Pl S Broken Arrow OK 74014-1595 Ph: (918) 313-5835 | Individual And Family Matters Llc. 20216 E 43rd Pl S Broken Arrow OK 74014-1595 Ph: (918) 313-5835 |
| NPI Number | 1225658321 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225658321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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