| Lift Professional Counseling | |
|
101 Park Ave Ste 1300 Oklahoma City OK 73102 | |
| (405) 342-0714 | |
| Not Available |
| Full Name | Lift Professional Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Park Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Dustin Choate (PRESIDENT/CEO) |
| Authorized Official Contact | 4053154350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lift Professional Counseling 3700 N Classen Blvd Ste 105 Oklahoma City OK 73118-2882 Ph: (405) 342-0714 | Lift Professional Counseling 101 Park Ave Ste 1300 Oklahoma City OK 73102 Ph: (405) 342-0714 |
| NPI Number | 1851821466 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851821466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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