Sub Rosa Mental Services

NPI #1023790896 in Oologah, Oklahoma

Provider Information

NPI Number: 1023790896
Entity Type: Organization
Organization Name: Sub Rosa Mental Services
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 14674 U.S. 169
City: Oologah
State: Oklahoma
ZIP Code: 74053
Phone: (808) 452-2515

Authorized Official

Name: MR. SHILOH MARTIN, LPC
Title: MENTAL HEALTH PROVIDER
Phone: (808) 452-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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