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N-SIDEOUT COUNSELING SERVICES PLLC NPI 1619357936


NPI Information

NPI: 1619357936
Provider Name: N-SIDEOUT COUNSELING SERVICES, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1330 N CLASSEN BLVD STE 315
OKLAHOMA CITY, OK
ZIP 73106
Phone: (405) 606-2880
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N-SIDEOUT COUNSELING SERVICES, PLLC is a mental health counselor in Oklahoma City, OK. N-SIDEOUT COUNSELING SERVICES, PLLC NPI is 1619357936. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1330 N CLASSEN BLVD STE 315
OKLAHOMA CITY, OK
ZIP 73106-834
Phone: (405) 606-2880
Fax: (405) 606-2881

The provider's authorized official is Jeanette Loudermilk .
The authorized official title is Clinical Director and has the following contact phone number (405) 606-2880.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/2/2015.


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
1101Y00000XCounselor5120OKLAHOMANo
2101YP2500XCounselorProfessional5120OKLAHOMANo
3102L00000XPsychoanalyst5120OKLAHOMANo
4101YM0800XCounselorMental Health5120OKLAHOMAYes

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
1200412190BMEDICAIDOKLAHOMA

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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