Riverside Counseling, Testing & Educational Services, Llc | |
519 W Delaware St Purcell OK 73080-5242 | |
(405) 527-8380 | |
(405) 527-4549 |
Full Name | Riverside Counseling, Testing & Educational Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 519 W Delaware St, Purcell, Oklahoma |
Authorized Official Name and Position | Charlotte A Holleman (OFFICE MANAGER) |
Authorized Official Contact | 4055278380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Riverside Counseling, Testing & Educational Services, Llc 519 W Delaware St Po Box 1613 Purcell OK 73080-5242 Ph: (405) 527-8380 | Riverside Counseling, Testing & Educational Services, Llc 519 W Delaware St Purcell OK 73080-5242 Ph: (405) 527-8380 |
NPI Number | 1275545477 |
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Provider Enumeration Date | 08/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275545477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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