institution
Blue Heaven Therapy, L.l.c.
Professional Counselor in Seminole, Oklahoma
NPI 1750050217

Blue Heaven Therapy, L.l.c. is a Professional Counselor based in Seminole, OK and is specialized in Professional. Blue Heaven Therapy, L.l.c. practices in Seminole, OK. The NPI Number for Blue Heaven Therapy, L.l.c. is 1750050217 and holds a License No. (Oklahoma).

The current practice location address for Blue Heaven Therapy, L.l.c. is 400 Timmons St., Seminole, OK and can be reached out via phone at 405-220-7165 and via fax at 405-382-2890.

Location: 400 Timmons St., Seminole, OK, 74868-3615
institution
Provider Profile Details
NPI Number
1750050217
Provider Name
Blue Heaven Therapy, L.l.c.
Credential
Provider Entity Type
Organization
Address
400 Timmons St., Seminole, OK, 74868-3615
Phone Number
405-220-7165
Fax Number
405-382-2890
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200723390B 05 OK
institution
Provider Business Practice Location Address Details
Address
400 Timmons St.
City
State
Zip
74868
Phone Number
405-220-7165
Fax Number
405-382-2890
person
Provider Business Mailing Address Details
Address
400 Timmons St.
City
State
Zip
74868
Phone Number
405-220-7165
Fax Number
405-382-2890
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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