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Organization

HEART MIND & SOUL COUNSELING AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRIPR STEMMONS SELF (OFFICE MANAGER)
(580) 319-5264
Entity
Organization

Contact information

Practice address
301 W MAIN ST STE 302, ARDMORE, OK 73401-6322
(580) 319-5264
(844) 769-4938
Mailing address
301 W MAIN ST STE 302, ARDMORE, OK 73401-6322
(580) 319-5264
(844) 769-4938

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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