Full Sail Behavioral Health Counseling LLC

NPI #1730713538 in Shawnee, Oklahoma

Provider Information

NPI Number: 1730713538
Entity Type: Organization
Organization Name: Full Sail Behavioral Health Counseling LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 2, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 3602 N UNION AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-2158
Phone: (918) 284-5658

Authorized Official

Name: MELISSA SUE UPTON, LPC
Title: OWNER/OPERATOR
Phone: (918) 284-5658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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