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IMPACT COUNSELING CENTER LLC NPI 1730583402


NPI Information

NPI: 1730583402
Provider Name: IMPACT COUNSELING CENTER LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
115 S MAIN ST
NOBLE, OK
ZIP 73068
Phone: (405) 872-8461
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IMPACT COUNSELING CENTER LLC is a counselor in Noble, 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. IMPACT COUNSELING CENTER LLC NPI is 1730583402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 S MAIN ST
NOBLE, OK
ZIP 73068-596
Phone: (405) 872-8461
Fax: (405) 872-8466

The provider's authorized official is Shalon Margaret Stokes .
The authorized official title is Chief Executive Director and has the following contact phone number (405) 306-0465.

The enumeration date for this NPI number is 10/9/2014 and was last updated on 10/9/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health955OKLAHOMANo
2101YP2500XCounselorProfessional955OKLAHOMANo
3106H00000XMarriage & Family Therapist955OKLAHOMANo
4101Y00000XCounselor955OKLAHOMAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.