Healthcare Provider Details

I. General information

NPI: 1639916109
Provider Name (Legal Business Name): ENJOY LIFE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E CENTRAL AVE OFFICE LINK # 3
PONCA CITY OK
74601-5429
US

IV. Provider business mailing address

400 E CENTRAL AVE OFFICE LINK # 3
PONCA CITY OK
74601-5429
US

V. Phone/Fax

Practice location:
  • Phone: 405-708-9122
  • Fax:
Mailing address:
  • Phone: 405-708-9122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: FRANCESCA CLIFFORD
Title or Position: OWNER/ LPC
Credential: LPC
Phone: 405-708-9122