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NPI Code Detail

MEDICARE: SRH COUNSELING LLC

MEDICARE: SRH COUNSELING 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 : 1861115743
Entity Type Code : Organization
Provider Name (Legal Business Name) : SRH COUNSELING LLC
Provider Business Mailing Address
First Line : 10812 E 123RD ST N
Second Line :
City : COLLINSVILLE
State : OK
Zip : 74021-5427
Country : US
Telephone Number : 191-855-7683
Fax Number :
Provider Business Practice Location Address
First Line : 108 W 1ST AVE STE C
Second Line :
City : OWASSO
State : OK
Zip : 74055-3137
Country : US
Telephone Number : 918-557-6839
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHEILA HUDGINS
Credential :
Telephone Number : 918-557-6839
Provider Enumeration Date : 09/26/2022
Last Update Date : 09/26/2022

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Directions to “SRH COUNSELING LLC ” Practice Location

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