| Lightwork Psychological Services Llc | |
|
1111 Magnolia Ct Ste 209 Moore OK 73160-1391 | |
| (405) 256-8230 | |
| Not Available |
| Full Name | Lightwork Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1111 Magnolia Ct Ste 209, Moore, Oklahoma |
| Authorized Official Name and Position | Latosha S Ramos Lake (LICENSED PSYCHOLOGIST/MANAGER) |
| Authorized Official Contact | 7852206088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightwork Psychological Services Llc 1216 Nw 32nd St Oklahoma City OK 73118-5607 Ph: (785) 220-6088 | Lightwork Psychological Services Llc 1111 Magnolia Ct Ste 209 Moore OK 73160-1391 Ph: (405) 256-8230 |
| NPI Number | 1861273674 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861273674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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