| Tattooed Therapist Pllc | |
|
2225 Fountain Lake Ave # B203 Enid OK 73703-4153 | |
| (405) 299-5797 | |
| Not Available |
| Full Name | Tattooed Therapist Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2225 Fountain Lake Ave # B203, Enid, Oklahoma |
| Authorized Official Name and Position | Jessica Taylor (THERAPIST) |
| Authorized Official Contact | 4052995797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tattooed Therapist Pllc 2225 Fountain Lake Ave # B203 Enid OK 73703-4153 Ph: () - | Tattooed Therapist Pllc 2225 Fountain Lake Ave # B203 Enid OK 73703-4153 Ph: (405) 299-5797 |
| NPI Number | 1407565500 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407565500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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