| Pathways To Haven Llc | |
|
5300 N Meridian Ave Ste 11d Oklahoma City OK 73112-2179 | |
| (405) 281-4854 | |
| Not Available |
| Full Name | Pathways To Haven Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5300 N Meridian Ave Ste 11d, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tasia Mendiola (MANAGING DIRECTOR) |
| Authorized Official Contact | 4052814854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Haven Llc 5300 N Meridian Ave Ste 11d Oklahoma City OK 73112-2179 Ph: () - | Pathways To Haven Llc 5300 N Meridian Ave Ste 11d Oklahoma City OK 73112-2179 Ph: (405) 281-4854 |
| NPI Number | 1801519574 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801519574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
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