| Olive Branch Behavioral Health Counseling Services, Inc | |
|
602 N Broadway St Tecumseh OK 74873-2020 | |
| (405) 585-3833 | |
| (405) 598-6770 |
| Full Name | Olive Branch Behavioral Health Counseling Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 602 N Broadway St, Tecumseh, Oklahoma |
| Authorized Official Name and Position | Angela Lacynda Phillips (LICENSED PROFESSIOAL COUNSELOR) |
| Authorized Official Contact | 4055853833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Behavioral Health Counseling Services, Inc Po Box 589 Tecumseh OK 74873-0589 Ph: (405) 585-3833 | Olive Branch Behavioral Health Counseling Services, Inc 602 N Broadway St Tecumseh OK 74873-2020 Ph: (405) 585-3833 |
| NPI Number | 1538657572 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538657572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6747 (Oklahoma) | Primary |
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