Organization
DISCOVERING HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI M ELLIS LPC (OWNER/CEO)
(918) 230-9580
Entity
Organization
Contact information
Practice address
15210 S 4060 RD LOT B, OOLOGAH, OK 74053-3735
(918) 230-9580
Mailing address
15210 S 4060 RD LOT B, OOLOGAH, OK 74053-3735
(918) 230-9580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679842785
—
OK
Enumeration date
09/22/2021
Last updated
09/22/2021
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