Organization
GENERATIONS PSYCHOLOGY AND COUNSELING, LLC
Active
Other names
Shantel Mitchell-Cooley, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL MITCHELL-COOLEY LCSW (LCSW)
(405) 659-2403
Entity
Organization
Contact information
Practice address
5912 W HEFNER RD STE S, OKLAHOMA CITY, OK 73162-4946
(405) 659-2403
Mailing address
PO BOX 720954, OKLAHOMA CITY, OK 73172-0954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1290
OK
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
5827
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290
LICENSED PSYCHOLOGIST
OK
01
—
5827
CLINICAL SOCIAL WORKER LICENSE
OK
Enumeration date
01/16/2018
Last updated
02/01/2018
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