Renewing Hope Counseling Pllc | |
108 S Muskogee Ave Ste 203 Tahlequah OK 74464-3818 | |
(918) 608-1600 | |
(918) 608-1601 |
Full Name | Renewing Hope Counseling Pllc |
---|---|
Speciality | Counselor |
Location | 108 S Muskogee Ave Ste 203, Tahlequah, Oklahoma |
Authorized Official Name and Position | Karla Leblanc (OWNER/CLINICIAN) |
Authorized Official Contact | 9182077099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renewing Hope Counseling Pllc 2467 Cambridge Cir Tahlequah OK 74464-4688 Ph: (918) 207-7099 | Renewing Hope Counseling Pllc 108 S Muskogee Ave Ste 203 Tahlequah OK 74464-3818 Ph: (918) 608-1600 |
NPI Number | 1629661475 |
---|---|
Provider Enumeration Date | 02/12/2021 |
Last Update Date | 02/12/2021 |
Certification Date | 02/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629661475 | NPI | - | NPPES |
1689912560 | Medicaid | OK | |
1902233604 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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