Spectra Mental Health

NPI #1073932976 in Midwest City, Oklahoma

Provider Information

NPI Number: 1073932976
Entity Type: Organization
Organization Name: Spectra Mental Health
Primary Specialty: Counselor
Enumeration Date: Apr 8, 2014
Last Updated: Apr 8, 2014

Practice Location

Address: 6520 E RENO AVE
Address 2: SUITE D
City: Midwest City
State: Oklahoma
ZIP Code: 73110-2109
Phone: (405) 733-0120

Authorized Official

Name: DAVONDRA LOVE OWENS
Title: CFO
Phone: (405) 733-0120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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