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PINKY PROMISE KEEPERS PLLC NPI 1770164329


NPI Information

NPI: 1770164329
Provider Name: PINKY PROMISE KEEPERS PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5710 E RENO AVE # C
MIDWEST CITY, OK
ZIP 73110
Phone: (405) 455-7244
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PINKY PROMISE KEEPERS PLLC is a mental health counselor in Midwest City, OK. PINKY PROMISE KEEPERS PLLC NPI is 1770164329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5710 E RENO AVE # C
MIDWEST CITY, OK
ZIP 73110-005
Phone: (405) 455-7244
Fax: (405) 455-7292

The provider's authorized official is Luquetta Mcclarty .
The authorized official title is Clinical Director and has the following contact phone number (405) 455-7244.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.


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 HealthYes

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
11487972444MEDICAIDOKLAHOMA

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: 11/14/2023

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.