| Roland Family Counseling Center | |
|
100 East Ray Fine Blvd Roland OK 74954 | |
| (918) 427-1311 | |
| (918) 427-0013 |
| Full Name | Roland Family Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 East Ray Fine Blvd, Roland, Oklahoma |
| Authorized Official Name and Position | Paul Edwin Grose (PRES.) |
| Authorized Official Contact | 9184271311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Family Counseling Center Po Box 378 Roland OK 74954-0378 Ph: (918) 427-1311 | Roland Family Counseling Center 100 East Ray Fine Blvd Roland OK 74954 Ph: (918) 427-1311 |
| NPI Number | 1255491494 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255491494 | NPI | - | NPPES |
| 100744310A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Isaiah Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E Ray Fine Blvd Ste 3, Roland, OK 74954 Phone: 479-755-5801 |