Organization
AMAZING LIFE BEHAVIORAL HEALTH AND ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA RENEE' WILKEY MA, LADC/MH (OWNER, DIRECTOR)
(405) 394-4209
Entity
Organization
Contact information
Practice address
324 N 19TH ST STE 101, GUTHRIE, OK 73044-2117
(405) 394-4209
Mailing address
18 HIGHLAND DR, PERRY, OK 73077-7010
(405) 476-8056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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