Organization
COMMUNITY COUNSELING OF OWASSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEIDI HILLS LPC (THERAPIST)
(918) 636-5234
Entity
Organization
Contact information
Practice address
10306 N 138TH EAST AVE, SUITE 206, OWASSO, OK 74055-4665
(918) 636-5234
Mailing address
10306 N 138TH EAST AVE, SUITE 206, OWASSO, OK 74055-4665
(918) 636-5234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200546520A
—
OK
Enumeration date
04/14/2017
Last updated
04/14/2017
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