| Valor Wellness, Llc | |
|
2706 E Harbert Rd Tishomingo OK 73460-4035 | |
| (580) 310-8105 | |
| Not Available |
| Full Name | Valor Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2706 E Harbert Rd, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Brad Thomas Brogdon (LICENSED PROFESSION COUNSELOR/CEO) |
| Authorized Official Contact | 5803108105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valor Wellness, Llc 2706 E Harbert Rd Tishomingo OK 73460-4035 Ph: (580) 310-8105 | Valor Wellness, Llc 2706 E Harbert Rd Tishomingo OK 73460-4035 Ph: (580) 310-8105 |
| NPI Number | 1982420188 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982420188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
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