| Journey Of Growth Therapy, Pllc | |
|
1501 Lera Suite 1 Weatherford OK 73096-2877 | |
| (580) 816-4100 | |
| Not Available |
| Full Name | Journey Of Growth Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1501 Lera, Weatherford, Oklahoma |
| Authorized Official Name and Position | Brett Charles Tracy (SOLE MBR) |
| Authorized Official Contact | 5806821351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Of Growth Therapy, Pllc 415 W. Oklahoma Ave Apt 6 Weatherford OK 73096-2877 Ph: (580) 682-1351 | Journey Of Growth Therapy, Pllc 1501 Lera Suite 1 Weatherford OK 73096-2877 Ph: (580) 816-4100 |
| NPI Number | 1376246876 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376246876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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