Organization
BEAUTY FOR ASHES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA GOLDSMITH-NICKELBERRY LCSW (OWNER/OPERATOR)
(405) 367-9034
Entity
Organization
Contact information
Practice address
849 E 33RD ST, EDMOND, OK 73013-5407
(405) 888-5299
(405) 888-5322
Mailing address
849 E 33RD ST, EDMOND, OK 73013-5407
(405) 888-5299
(405) 888-5322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4889
OK
Other
Enumeration date
02/17/2015
Last updated
10/30/2025
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