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EVANESCENCE COUNSELING PLLC NPI 1861738148


NPI Information

NPI: 1861738148
Provider Name: EVANESCENCE COUNSELING PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5909 NW EXPRESSWAY
SUITE 238
OKLAHOMA CITY, OK
ZIP 73132
Phone: (405) 420-7877
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EVANESCENCE COUNSELING PLLC is a counselor in Oklahoma City, 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. EVANESCENCE COUNSELING PLLC NPI is 1861738148. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5909 NW EXPRESSWAY
SUITE 238
OKLAHOMA CITY, OK
ZIP 73132-161
Phone: (405) 420-7877

The provider's authorized official is Charity Beth Danker .
The authorized official title is Owner/therpist and has the following contact phone number (405) 420-7877.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.


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
1101Y00000XCounselor4643OKLAHOMAYes

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
1200372680BMEDICAIDOKLAHOMA

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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