| Owasso Behavioral Health | |
|
10306 N 138th East Ave Ste 206 Owasso OK 74055-4665 | |
| (918) 636-5597 | |
| Not Available |
| Full Name | Owasso Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10306 N 138th East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Krista Quigley (OWNER/LPC) |
| Authorized Official Contact | 9186365597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owasso Behavioral Health 10306 N 138th East Ave Ste 206 Owasso OK 74055-4665 Ph: () - | Owasso Behavioral Health 10306 N 138th East Ave Ste 206 Owasso OK 74055-4665 Ph: (918) 636-5597 |
| NPI Number | 1396284725 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396284725 | NPI | - | NPPES |
| 200360960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4043 (Oklahoma) | Primary |
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