| Montgomery Individual And Family Therapy, Llc | |
|
10306 N 138th East Ave Owasso OK 74055-4665 | |
| (918) 852-9644 | |
| Not Available |
| Full Name | Montgomery Individual And Family Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10306 N 138th East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Ayngi Montgomery (OWNER) |
| Authorized Official Contact | 9188529644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Individual And Family Therapy, Llc Po Box 700082 Tulsa OK 74170-0082 Ph: (918) 852-9644 | Montgomery Individual And Family Therapy, Llc 10306 N 138th East Ave Owasso OK 74055-4665 Ph: (918) 852-9644 |
| NPI Number | 1184950222 |
|---|---|
| Provider Enumeration Date | 10/25/2009 |
| Last Update Date | 10/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184950222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4100 (Oklahoma) | Primary |
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› Verified 3 days ago
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