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SERENITY OUTPATIENT SERVICES PLLC NPI 1972155695


NPI Information

NPI: 1972155695
Provider Name: SERENITY OUTPATIENT SERVICES, PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3013 N HIGHWAY 167 STE B
CATOOSA, OK
ZIP 74015
Phone: (918) 640-9002
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SERENITY OUTPATIENT SERVICES, PLLC is a counselor in Catoosa, 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. SERENITY OUTPATIENT SERVICES, PLLC NPI is 1972155695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3013 N HIGHWAY 167 STE B
CATOOSA, OK
ZIP 74015-348
Phone: (918) 640-9002
Fax: (918) 739-3068

The provider's authorized official is Betty Hull .
The authorized official title is Therapist and has the following contact phone number (918) 640-9002.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 7/12/2019.


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
1101Y00000XCounselorYes

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
1200378170BMEDICAIDOKLAHOMA

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

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