Southside Behavioral Health LLC

NPI #1487056446 in Jenks, Oklahoma

Provider Information

NPI Number: 1487056446
Entity Type: Organization
Organization Name: Southside Behavioral Health LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 22, 2014
Last Updated: Sep 22, 2014

Practice Location

Address: 124 N 1ST ST
City: Jenks
State: Oklahoma
ZIP Code: 74037-3912
Phone: (918) 697-9345

Authorized Official

Name: MRS. AMY MARIE BROWN, MRH, LPC
Title: LIC PROF COUNSELOR/OWNER/MANAGER
Phone: (918) 697-9345

Specialties & Taxonomy Codes

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

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