The Ivy Center, LLC

NPI #1205672797 in Mcloud, Oklahoma

Provider Information

NPI Number: 1205672797
Entity Type: Organization
Organization Name: The Ivy Center, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 3, 2024
Last Updated: Jul 3, 2024

Practice Location

Address: 15980 TRAILHEAD RD
City: Mcloud
State: Oklahoma
ZIP Code: 74851-5015
Phone: (405) 827-4666

Authorized Official

Name: JUANTIA MARSHALL
Title: OWNER
Phone: (405) 827-4666

Specialties & Taxonomy Codes

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

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