| Lisa Irwin, Llc | |
|
112 N Jackson St Enid OK 73701-3848 | |
| (580) 254-1535 | |
| (580) 237-1947 |
| Full Name | Lisa Irwin, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 112 N Jackson St, Enid, Oklahoma |
| Authorized Official Name and Position | Lisa Irwin (OWNER/COUNSELOR) |
| Authorized Official Contact | 5802541535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Irwin, Llc 112 N Jackson St Enid OK 73701-3848 Ph: (580) 254-1535 | Lisa Irwin, Llc 112 N Jackson St Enid OK 73701-3848 Ph: (580) 254-1535 |
| NPI Number | 1366205957 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366205957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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