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Organization
TAKE HEART THERAPY, LLC
Active
Organization
TAKE HEART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN ROUK LPC (COUNSELOR/MENTAL HEALTH)
(918) 857-5244
Entity
Organization
Contact information
Practice address
519 E 141ST ST STE L, GLENPOOL, OK 74033-3588
(918) 641-4605
Mailing address
3810 HARRELD RD, BEGGS, OK 74421-2478
(918) 857-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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