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Organization
PATHWAYS TO HAVEN LLC
Active
Organization
PATHWAYS TO HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASIA MENDIOLA MS, LPC-S (MANAGING DIRECTOR)
(405) 281-4854
Entity
Organization
Contact information
Practice address
5300 N MERIDIAN AVE STE 11D, OKLAHOMA CITY, OK 73112-2179
(405) 281-4854
Mailing address
5300 N MERIDIAN AVE STE 11D, OKLAHOMA CITY, OK 73112-2179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
09/19/2022
Last updated
01/18/2024
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