| La Vida Fearless Counseling | |
|
3000 United Founders Blvd Ste 124 Oklahoma City OK 73112-4292 | |
| (405) 810-5200 | |
| (405) 493-0700 |
| Full Name | La Vida Fearless Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3000 United Founders Blvd Ste 124, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Danny Podobnik (MANAGER) |
| Authorized Official Contact | 4058105200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vida Fearless Counseling 3000 United Founders Blvd Ste 124 Oklahoma City OK 73112-4292 Ph: (405) 810-5200 | La Vida Fearless Counseling 3000 United Founders Blvd Ste 124 Oklahoma City OK 73112-4292 Ph: (405) 810-5200 |
| NPI Number | 1669987830 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669987830 | NPI | - | NPPES |
| 200748610A | Medicaid | OK |
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