| NPI | 1821894866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN AMANDA COOPER Owner 405-215-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |