Organization
PUZZLE PEACE COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GROSSENBACHER LCSW (OWNER)
(405) 568-1950
Entity
Organization
Contact information
Practice address
1603 E 19TH ST STE 190, EDMOND, OK 73013-6566
(405) 568-1950
Mailing address
7108 NW 145TH ST, OKLAHOMA CITY, OK 73142-7854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4276
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200362310A
—
OK
Enumeration date
07/07/2017
Last updated
07/07/2017
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