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Organization

LA VIDA FEARLESS COUNSELING

Active
Other names
La Vida Fearless Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY PODOBNIK (MANAGER)
(405) 810-5200
Entity
Organization

Contact information

Practice address
3000 UNITED FOUNDERS BLVD STE 124, OKLAHOMA CITY, OK 73112-4292
(405) 810-5200
(405) 493-0700
Mailing address
3000 UNITED FOUNDERS BLVD STE 124, OKLAHOMA CITY, OK 73112-4292
(405) 810-5200
(405) 493-0700

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6158
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200748610A
OK
Enumeration date
12/08/2017
Last updated
08/30/2024
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