Healthcare Provider Details

I. General information

NPI: 1033165667
Provider Name (Legal Business Name): MFI ENTERPRISES DBA COUSELING CENTER OF SE OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S HIGH ST
ANTLERS OK
74523-3818
US

IV. Provider business mailing address

107 S HIGH ST PO BOX 1030
ANTLERS OK
74523-3818
US

V. Phone/Fax

Practice location:
  • Phone: 580-298-2830
  • Fax: 580-298-6723
Mailing address:
  • Phone: 580-298-2830
  • Fax: 580-298-6723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOK

VIII. Authorized Official

Name: MR. MATTHEW M. SMITH
Title or Position: ADMIN. SERVICES
Credential:
Phone: 580-298-2830