| Puzzle Peace Counseling, Inc | |
|
1603 E 19th St Ste 190 Edmond OK 73013-6566 | |
| (405) 568-1950 | |
| Not Available |
| Full Name | Puzzle Peace Counseling, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1603 E 19th St Ste 190, Edmond, Oklahoma |
| Authorized Official Name and Position | Lisa Grossenbacher (OWNER) |
| Authorized Official Contact | 4055681950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puzzle Peace Counseling, Inc 7108 Nw 145th St Oklahoma City OK 73142-7854 Ph: () - | Puzzle Peace Counseling, Inc 1603 E 19th St Ste 190 Edmond OK 73013-6566 Ph: (405) 568-1950 |
| NPI Number | 1851813257 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851813257 | NPI | - | NPPES |
| 200362310A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4276 (Oklahoma) | Primary |
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