| Pathway To Hope Llc | |
|
1763 W 33rd St # Site110 Edmond OK 73013-3869 | |
| (405) 822-0793 | |
| (405) 724-7793 |
| Full Name | Pathway To Hope Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1763 W 33rd St # Site110, Edmond, Oklahoma |
| Authorized Official Name and Position | Rue La Shelle Tennyson (THERAPIST) |
| Authorized Official Contact | 4058220793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Hope Llc 1763 W 33rd St Ste 110 Edmond OK 73013-3870 Ph: (405) 822-0793 | Pathway To Hope Llc 1763 W 33rd St # Site110 Edmond OK 73013-3869 Ph: (405) 822-0793 |
| NPI Number | 1740953298 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740953298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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