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Heartland Therapeutic Services, LLC

Counselor, Mental Health in Skiatook, OK. Organization (NPI-2).

NPI number1669945804
StatusActive
Last updated in NPPESFeb 22, 2021

Details

NPI
1669945804
Entity type
Organization (NPI-2)
Legal business name
Heartland Therapeutic Services, LLC
Organization subpart
No
Enumeration date
Jan 10, 2019
Certification date
Feb 4, 2021
Last updated
Feb 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
225100000X Physical Therapist––

Other names

  • Heartland Therapeutic Services (Former Legal Business Name)

Practice location

102 W Rogers Blvd. Skiatook
Skiatook, OK 74070-7407

Phone 918-724-4779 · Fax 888-284-2781

Mailing address

4198 Hobby Horse Ln
Skiatook, OK 74070-9361

Phone 918-724-4779 · Fax 888-284-2781

Authorized official

Terrill Paul Watson
Owner-Counseling
9187244779

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