| Soaring Heights Mental Health, Llc | |
|
1300 Summers Pl Ponca City OK 74604-4443 | |
| (406) 998-8390 | |
| Not Available |
| Full Name | Soaring Heights Mental Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1300 Summers Pl, Ponca City, Oklahoma |
| Authorized Official Name and Position | Jasmine Olmstead (OWNER) |
| Authorized Official Contact | 4069988390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring Heights Mental Health, Llc 1300 Summers Pl Ponca City OK 74604-4443 Ph: (406) 998-8390 | Soaring Heights Mental Health, Llc 1300 Summers Pl Ponca City OK 74604-4443 Ph: (406) 998-8390 |
| NPI Number | 1255162665 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255162665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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