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BLANCHARD CHRISTIAN COUNSELING LLC NPI 1235506411


NPI Information

NPI: 1235506411
Provider Name: BLANCHARD CHRISTIAN COUNSELING LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 37D2193734

Address:
1019 N COUNCIL AVE.
STE 5
BLANCHARD, OK
ZIP 73010
Phone: (405) 488-5590
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BLANCHARD CHRISTIAN COUNSELING LLC is a counselor in Blanchard, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. BLANCHARD CHRISTIAN COUNSELING LLC NPI is 1235506411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1019 N COUNCIL AVE.
STE 5
BLANCHARD, OK
ZIP 73010-046
Phone: (405) 488-5590

The provider's authorized official is John Eikel .
The authorized official title is Owner and has the following contact phone number (405) 488-5590.

The CLIA number assigned to this NPI record is 37D2193734 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 8/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor5463OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200382780BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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