Organization
SERENITY OUTPATIENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY HULL LPC (THERAPIST)
(918) 640-9002
Entity
Organization
Contact information
Practice address
3013 N HIGHWAY 167 STE B, CATOOSA, OK 74015-3348
(918) 640-9002
(918) 739-3068
Mailing address
3013 N HIGHWAY 167 STE B, CATOOSA, OK 74015-3348
(918) 640-9002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378170B
—
OK
Enumeration date
07/12/2019
Last updated
07/12/2019
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