Organization
HEARTLAND THERAPEUTIC SERVICES, LLC
Active
Other names
Heartland Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL PAUL WATSON LPC (OWNER-COUNSELING)
(918) 724-4779
Entity
Organization
Contact information
Practice address
102 W ROGERS BLVD. SKIATOOK, SKIATOOK, OK 74070-7407
(918) 724-4779
(888) 284-2781
Mailing address
4198 HOBBY HORSE LN, SKIATOOK, OK 74070-9361
(918) 724-4779
(888) 284-2781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407985229
NPPES
OK
Enumeration date
01/10/2019
Last updated
02/22/2021
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