Organization
SHAMROCK BEHAVIORAL HEALTH SERVICES OF OKLAHOMA, LLC
Active
Organization
SHAMROCK BEHAVIORAL HEALTH SERVICES OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY DALE GROVES LPC, NCC (OWNER - THERAPIST)
(405) 464-3279
Entity
Organization
Contact information
Practice address
1600 E US HIGHWAY 66, SUITE #5, EL RENO, OK 73036-5787
(405) 464-3279
Mailing address
12309 NEWGATE DR, YUKON, OK 73099-6426
(405) 464-3279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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