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Organization

RED HAVEN THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET YVONNE RICHARDSON LPC (OWNER/ COUNSELOR)
(918) 640-6637
Entity
Organization

Contact information

Practice address
451289 E 966 RD, VIAN, OK 74962
(918) 640-6637
Mailing address
PO BOX 37, VIAN, OK 74962-0037
(918) 640-6637

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275805095
INSURANCE PROVIDERS
OK
Enumeration date
06/26/2025
Last updated
10/17/2025
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