Organization
EMDR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R EATHERLY MS, LPC-S (OWNER)
(580) 320-5633
Entity
Organization
Contact information
Practice address
1013 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 246-4207
Mailing address
608 S OHIO ST, TISHOMINGO, OK 73460-3229
(580) 320-5633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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