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Organization
HEARTLAND THERAPEUTIC SERVICES, LLC
Active
Organization
HEARTLAND THERAPEUTIC SERVICES, LLC
Active
Other names
Heartland Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL PAUL WATSON LPC (OWNER-COUNSELING)
(918) 724-4779
Entity
Organization
Contact information
Practice address
102 W ROGERS BLVD. SKIATOOK, SKIATOOK, OK 74070-7407
(918) 724-4779
(888) 284-2781
Mailing address
4198 HOBBY HORSE LN, SKIATOOK, OK 74070-9361
(918) 724-4779
(888) 284-2781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407985229
NPPES
OK
Enumeration date
01/10/2019
Last updated
02/22/2021
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