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Organization

JOURNEY OF GROWTH THERAPY, PLLC

Active
Parent organization
JOURNEY OF GROWTH THERAPY, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOURNEY OF GROWTH THERAPY, PLLC
Authorized official
BRETT CHARLES TRACY LPC (SOLE MBR)
(580) 682-1351
Entity
Organization

Contact information

Practice address
1501 LERA, SUITE 1, WEATHERFORD, OK 73096-2877
(580) 816-4100
Mailing address
415 W. OKLAHOMA AVE, APT 6, WEATHERFORD, OK 73096-2877
(580) 682-1351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/23/2023
Last updated
03/23/2023
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