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Organization

R.E.A.L THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERMELL ANTONIO PERRY LPC (CEO/OWNER)
(405) 541-4209
Entity
Organization

Contact information

Practice address
3000 UNITED FOUNDERS BLVD STE 139D, OKLAHOMA CITY, OK 73112-4359
(405) 541-4209
Mailing address
3000 UNITED FOUNDERS BLVD STE 139D, OKLAHOMA CITY, OK 73112-4359
(405) 541-4209

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/04/2022
Last updated
08/12/2022
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