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TIBA COUNSELING CENTER INC. NPI 1598321440


NPI Information

NPI: 1598321440
Provider Name: TIBA COUNSELING CENTER, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4301 NW 63RD ST STE 305
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 234-6804
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TIBA COUNSELING CENTER, INC. is a professional counselor in Oklahoma City, OK. TIBA COUNSELING CENTER, INC. NPI is 1598321440. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4301 NW 63RD ST STE 305
OKLAHOMA CITY, OK
ZIP 73116-504
Phone: (405) 234-6804

The provider's authorized official is Ashley Bryant .
The authorized official title is Director and has the following contact phone number (405) 234-6804.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 5/16/2019.


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
1101YM0800XCounselorMental HealthNo
2101Y00000XCounselorNo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4101YP2500XCounselorProfessionalYes

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
1200346790MEDICAIDOKLAHOMA

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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