Organization
CASSIE MAHAN LLC
Active
Other names
Bloom Avenue Therapy Co
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE MAHAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(580) 330-1398
Entity
Organization
Contact information
Practice address
505 MULBERRY ST, WEATHERFORD, OK 73096-4243
(580) 330-1398
Mailing address
505 MULBERRY ST, WEATHERFORD, OK 73096-4243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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