Ecclesia Counseling Services LLC

NPI #1225520638 in Owasso, Oklahoma

Provider Information

NPI Number: 1225520638
Entity Type: Organization
Organization Name: Ecclesia Counseling Services LLC
Primary Specialty: Counselor - Professional
Enumeration Date: May 31, 2018
Last Updated: May 31, 2018

Practice Location

Address: 10306 N 138TH EAST AVE STE 200
City: Owasso
State: Oklahoma
ZIP Code: 74055-4665
Phone: (918) 671-7764

Authorized Official

Name: PERCY CALVERT III, LPC
Title: OWNER AND LPC
Phone: (918) 671-7764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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