Organization
ELITE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA D HOLT M.ED. LPC (OWNER)
(580) 564-7308
Entity
Organization
Contact information
Practice address
413 HIGHWAY 70 N, KINGSTON, OK 73439-8235
(580) 564-7308
(580) 564-7309
Mailing address
413 HIGHWAY 70 N, KINGSTON, OK 73439-8235
(580) 564-7308
(580) 564-7309
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/30/2011
Last updated
03/19/2024
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