Organization
LA VIDA FEARLESS COUNSELING
Active
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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