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NPI Code Detail

MEDICARE: WARRIORHEART HEALLING HEARTS LLC

MEDICARE: WARRIORHEART HEALLING HEARTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1033751953
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARRIORHEART HEALLING HEARTS LLC
Provider Business Mailing Address
First Line : 10316 CAROLYN DR
Second Line :
City : NEWALLA
State : OK
Zip : 74857-7605
Country : US
Telephone Number : 405-623-4075
Fax Number :
Provider Business Practice Location Address
First Line : 11209 N MAY AVE STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6351
Country : US
Telephone Number : 405-623-4075
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : ERICA ELLIOTT
Credential : LPC
Telephone Number : 405-623-4075
Provider Enumeration Date : 10/11/2019
Last Update Date : 11/02/2019

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Directions to “WARRIORHEART HEALLING HEARTS LLC ” Practice Location

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