Organization
ABUNDANT GRACE COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANALISA PENA LPC (CEO)
(918) 269-9511
Entity
Organization
Contact information
Practice address
531 E A ST STE 200B, JENKS, OK 74037-4349
(918) 269-9511
Mailing address
7220 E 91ST CT, TULSA, OK 74133-5300
(918) 269-9511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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