Organization
MENTAL WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CATO (ADMINISTRATOR)
(405) 470-1884
Entity
Organization
Contact information
Practice address
3605 NW 175TH ST, EDMOND, OK 73012-6901
(405) 470-1884
(405) 470-1028
Mailing address
3605 NW 175TH ST, EDMOND, OK 73012-6901
(405) 470-1884
(405) 470-1028
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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