| Ecclesia Counseling Services Llc | |
|
10306 N 138th East Ave Ste 200 Owasso OK 74055-4665 | |
| (918) 671-7764 | |
| Not Available |
| Full Name | Ecclesia Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10306 N 138th East Ave Ste 200, Owasso, Oklahoma |
| Authorized Official Name and Position | Percy Calvert (OWNER AND LPC) |
| Authorized Official Contact | 9186717764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecclesia Counseling Services Llc 8324 N Quebec Ave Sperry OK 74073-4741 Ph: (918) 671-7764 | Ecclesia Counseling Services Llc 10306 N 138th East Ave Ste 200 Owasso OK 74055-4665 Ph: (918) 671-7764 |
| NPI Number | 1225520638 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225520638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6365 (Oklahoma) | Primary |
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