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WHALEN THERAPEUTIC CENTER PLLC NPI 1912398322


NPI Information

NPI: 1912398322
Provider Name: WHALEN THERAPEUTIC CENTER PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
10306 N 138TH EAST AVE
STE. 206
OWASSO, OK
ZIP 74055
Phone: (918) 200-9691
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WHALEN THERAPEUTIC CENTER PLLC is a professional counselor in Owasso, OK. WHALEN THERAPEUTIC CENTER PLLC NPI is 1912398322. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10306 N 138TH EAST AVE
STE. 206
OWASSO, OK
ZIP 74055-665
Phone: (918) 200-9691
Fax: (888) 975-3464

The provider's authorized official is Jackie Lee Scott .
The authorized official title is Counselor/president and has the following contact phone number (918) 200-9691.

The enumeration date for this NPI number is 2/7/2015 and was last updated on 4/27/2016.


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
1101YP2500XCounselorProfessional2394KANSASNo
2101YM0800XCounselorMental Health5538OKLAHOMANo
3101YP2500XCounselorProfessional5538OKLAHOMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200402920BMEDICAIDOKLAHOMA
2200575340AMEDICAIDOKLAHOMA
3201122950AMEDICAIDKANSAS

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.