| NPI | 1003538364 |
|---|---|
| Former Legal Business Name | KRISTA BATES LPC LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTA HEARON Owner 405-938-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-03-15 |