| Solid Rock Life Therapy Services, Llc | |
|
9753 N 52nd West Ave Sperry OK 74073-4032 | |
| (918) 949-5965 | |
| Not Available |
| Full Name | Solid Rock Life Therapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9753 N 52nd West Ave, Sperry, Oklahoma |
| Authorized Official Name and Position | Victoria Mcdaniel-tracy (OWNER) |
| Authorized Official Contact | 9189495965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Rock Life Therapy Services, Llc 9753 N 52nd West Ave Sperry OK 74073-4032 Ph: (918) 949-5965 | Solid Rock Life Therapy Services, Llc 9753 N 52nd West Ave Sperry OK 74073-4032 Ph: (918) 949-5965 |
| NPI Number | 1629678461 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629678461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |