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Organization

ONYX HARBOR WELLNESS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVONDRIA JACOBS LCSW (OWNER)
(469) 728-4404
Entity
Organization

Contact information

Practice address
8008 BEHR DR, EDMOND, OK 73034
(469) 728-4404
Mailing address
820 W DANFORTH RD UNIT 297, EDMOND, OK 73003-5006
(469) 728-4404

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/09/2026
Last updated
06/09/2026
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