| Spectra Mental Health | |
|
6520 E Reno Ave Suite D Midwest City OK 73110-2109 | |
| (405) 733-0120 | |
| (405) 733-7877 |
| Full Name | Spectra Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 6520 E Reno Ave, Midwest City, Oklahoma |
| Authorized Official Name and Position | Davondra Love Owens (CFO) |
| Authorized Official Contact | 4057330120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectra Mental Health Po Box 223 Spencer OK 73084-0223 Ph: (405) 733-0120 | Spectra Mental Health 6520 E Reno Ave Suite D Midwest City OK 73110-2109 Ph: (405) 733-0120 |
| NPI Number | 1073932976 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073932976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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