| Lifespan Counseling Professionals | |
|
212 W Evergreen St Durant OK 74701-4710 | |
| (580) 931-9901 | |
| Not Available |
| Full Name | Lifespan Counseling Professionals |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 W Evergreen St, Durant, Oklahoma |
| Authorized Official Name and Position | Hazel Mae Southerland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5809319901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling Professionals 212 W Evergreen St Durant OK 74701-4710 Ph: (580) 931-9901 | Lifespan Counseling Professionals 212 W Evergreen St Durant OK 74701-4710 Ph: (580) 931-9901 |
| NPI Number | 1013092626 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013092626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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