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FULL LIFE FAMILY RESOURCE CENTER
NPI 1629334388
Counselor - Mental Health in Broken Bow, OK

Active since April 06, 2012
205 MAIN ST, BROKEN BOW, OK 74728(580) 584-2478 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Life Family Resource Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL LIFE FAMILY RESOURCE CENTER (NPI 1629334388) is a healthcare organization registered as a mental health in Broken Bow, Oklahoma and active in the NPI registry since April 2012. The organization lists Glynis Watkins Daniel, Owner, as its authorized official.

NPPES Registry Identity

NPI1629334388
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROFESSIONAL COUNSELING ASSOCIATES OF MCCURTAIN COUNTY, INC.
Location Address205 MAIN STBroken Bow, OK 74728-3975
Mailing AddressRr 2 Box 6090Broken Bow, OK 74728-9808 · (580) 236-2376
Phone(580) 584-2478
Organization SubpartNo
Authorized OfficialGlynis Watkins DanielOwner · (580) 584-2478
Enumeration DateApril 6, 2012
✔ NPI 1629334388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 3881
205 MAIN ST, Broken Bow, OK 74728
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Other Names 1

Doing Business AsFull Life Family Resource Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FULL LIFE FAMILY RESOURCE CENTER LLC
Community/Behavioral Health
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 584-2478
NICOLE SMITH
Counselor (Professional)
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 236-7906
SETH AEBISCHER
Peer Specialist
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 236-2376
MINDI WESTBROOK
Counselor (Mental Health)
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 584-2478
MRS. CHELSEA RICHARDSON MA, LPC
Counselor (Mental Health)
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 584-2478
DR. GLYNIS WATKINS LPC
Counselor (Professional)
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 584-2478
DEANN MCMURL
Case Manager/Care Coordinator
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 584-2478
MS. CATHERINE VALENCIA LPC
Counselor (Professional)
205 MAIN ST
BROKEN BOW, OK 74728
McCurtain County (580) 314-6972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Counseling Associates Of Mccurtain County, Inc.'s NPI number?

The NPI number for Professional Counseling Associates Of Mccurtain County, Inc. is 1629334388. It was assigned to this organization in the NPPES registry on April 6, 2012. The provider is doing business as Full Life Family Resource Center.

Where is Professional Counseling Associates Of Mccurtain County, Inc. located?

Professional Counseling Associates Of Mccurtain County, Inc. is located at 205 Main St, Broken Bow, OK 74728. The listed phone number is (580) 584-2478.

What is Professional Counseling Associates Of Mccurtain County, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Professional Counseling Associates Of Mccurtain County, Inc. was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.