Mandala Play Therapy Solutions, Llc | |
5116 N Portland Ave Oklahoma City OK 73112-2077 | |
(405) 413-4768 | |
Not Available |
Full Name | Mandala Play Therapy Solutions, Llc |
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Speciality | Marriage & Family Therapist |
Location | 5116 N Portland Ave, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Nancy Rumley Soliz (OWNER/ PRACTIONER) |
Authorized Official Contact | 4054134768 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mandala Play Therapy Solutions, Llc 2808 Nw 12th St Oklahoma City OK 73107-5322 Ph: (405) 413-4768 | Mandala Play Therapy Solutions, Llc 5116 N Portland Ave Oklahoma City OK 73112-2077 Ph: (405) 413-4768 |
NPI Number | 1689001463 |
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Provider Enumeration Date | 10/10/2013 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
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1689001463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1001 (Oklahoma) | Primary |
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