Serenity Outpatient Services, Pllc | |
3013 N Highway 167 Ste B Catoosa OK 74015-3348 | |
(918) 640-9002 | |
(918) 739-3068 |
Full Name | Serenity Outpatient Services, Pllc |
---|---|
Speciality | Counselor |
Location | 3013 N Highway 167 Ste B, Catoosa, Oklahoma |
Authorized Official Name and Position | Betty Hull (THERAPIST) |
Authorized Official Contact | 9186409002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Outpatient Services, Pllc 3013 N Highway 167 Ste B Catoosa OK 74015-3348 Ph: (918) 640-9002 | Serenity Outpatient Services, Pllc 3013 N Highway 167 Ste B Catoosa OK 74015-3348 Ph: (918) 640-9002 |
NPI Number | 1972155695 |
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Provider Enumeration Date | 07/12/2019 |
Last Update Date | 07/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972155695 | NPI | - | NPPES |
200378170B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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