Organization
TK'S TOTAL WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAKISHA L. LOVELACE (EXECUTIVE DIRECTOR)
(405) 771-0651
Entity
Organization
Contact information
Practice address
1120 N EASTERN AVE STE 1083306, MOORE, OK 73160-5856
(405) 771-0651
Mailing address
1120 N EASTERN AVE STE 108, MOORE, OK 73160-5856
(405) 771-0651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
225C00000X
Rehabilitation Counselor
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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