Organization
SONGBIRD PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA ANNETTE SPEARS LCSW, LICSW (OWNER/SOCIAL WORKER)
(936) 404-7344
Entity
Organization
Contact information
Practice address
13334 S 21ST ST, BIXBY, OK 74008-1040
(936) 404-7344
Mailing address
13334 S 21ST ST, BIXBY, OK 74008-1040
(936) 404-7344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801446364
PERSONAL NPI
AR
Enumeration date
06/19/2024
Last updated
06/19/2024
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