| Green Country Counseling Pllc | |
|
3104 S Elm Pl Ste G Broken Arrow OK 74012-7949 | |
| (918) 760-3164 | |
| Not Available |
| Full Name | Green Country Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3104 S Elm Pl Ste G, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Greg Cook (OWNER) |
| Authorized Official Contact | 9187603164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Counseling Pllc 3700 W Hartford St Broken Arrow OK 74012-2107 Ph: (918) 760-3164 | Green Country Counseling Pllc 3104 S Elm Pl Ste G Broken Arrow OK 74012-7949 Ph: (918) 760-3164 |
| NPI Number | 1194472084 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194472084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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