Organization
LEQUITA J. JOYCE INC
Active
Other names
Roland Family Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EDWIN GROSE OWNER (PRES.)
(918) 427-1311
Entity
Organization
Contact information
Practice address
100 EAST RAY FINE BLVD, ROLAND, OK 74954
(918) 427-1311
(918) 427-0013
Mailing address
PO BOX 378, ROLAND, OK 74954-0378
(918) 427-1311
(918) 427-0013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744310A
—
OK
Enumeration date
12/11/2006
Last updated
05/27/2015
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