Organization
MEHERRIN RIVER COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA L SHORT LPC (OWNER)
(580) 492-4604
Entity
Organization
Contact information
Practice address
9201 STATE HIGHWAY 17 STE A, ELGIN, OK 73538-4517
(434) 848-5178
(580) 492-4609
Mailing address
45042 COUNTY STREET 2680, CYRIL, OK 73029-2111
(434) 848-5178
(580) 492-4609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124216577
—
OK
05
—
1124216577
—
VA
01
—
1942614631
COMPANY NPI
—
Enumeration date
06/20/2014
Last updated
11/29/2023
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