Organization
PENNY LANE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES LEANN CHASTAIN M.ED., LPC (CO-0WNER)
(405) 919-7009
Entity
Organization
Contact information
Practice address
4416 N WESTERN AVE STE 207, OKLAHOMA CITY, OK 73118-5256
(405) 919-7009
Mailing address
4416 N WESTERN AVE STE 207, OKLAHOMA CITY, OK 73118-5256
(405) 919-7009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6368
OK
Other
Enumeration date
05/30/2018
Last updated
11/12/2019
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