| Symphony Children's Counseling And Consulting | |
|
11012 N May Ave #132 Oklahoma City OK 73120-6345 | |
| (405) 962-9688 | |
| Not Available |
| Full Name | Symphony Children's Counseling And Consulting |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11012 N May Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Sophilia Jean Lark (PRESIDENT/CEO) |
| Authorized Official Contact | 4059629688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Symphony Children's Counseling And Consulting 10443 N May Ave #761 Oklahoma City OK 73120-2610 Ph: (405) 962-9688 | Symphony Children's Counseling And Consulting 11012 N May Ave #132 Oklahoma City OK 73120-6345 Ph: (405) 962-9688 |
| NPI Number | 1225382856 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225382856 | NPI | - | NPPES |
| 200371750A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4487 (Oklahoma) | Primary |
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