| Shanna Eischen Consulting And Counseling Llc | |
|
6308 E 15th St Ste 2c Tulsa OK 74112-6411 | |
| (918) 695-0996 | |
| Not Available |
| Full Name | Shanna Eischen Consulting And Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6308 E 15th St Ste 2c, Tulsa, Oklahoma |
| Authorized Official Name and Position | Shanna L Eischen (OWNER AND PROVIDER) |
| Authorized Official Contact | 9186950996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Eischen Consulting And Counseling Llc 6308 E 15th St Ste 2c Tulsa OK 74112-6411 Ph: (918) 695-0996 | Shanna Eischen Consulting And Counseling Llc 6308 E 15th St Ste 2c Tulsa OK 74112-6411 Ph: (918) 695-0996 |
| NPI Number | 1013527944 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013527944 | NPI | - | NPPES |
| 1912345463 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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