| Journey Counseling, Llc | |
|
524 S Chickasaw St Pauls Valley OK 73075-4602 | |
| (580) 320-2906 | |
| Not Available |
| Full Name | Journey Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 524 S Chickasaw St, Pauls Valley, Oklahoma |
| Authorized Official Name and Position | Olga Pavlivna Bostic (OWNER) |
| Authorized Official Contact | 5804140117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling, Llc 613 N Chickasaw St Pauls Valley OK 73075-2409 Ph: (580) 414-0117 | Journey Counseling, Llc 524 S Chickasaw St Pauls Valley OK 73075-4602 Ph: (580) 320-2906 |
| NPI Number | 1538972278 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 6709307499 |
|---|---|
| Medicare Enrollment ID | O20250311001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538972278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Olga Pavlivna Bostic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215770219 PECOS PAC ID: 9335660026 Enrollment ID: I20250311001417 |
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