Healthcare Provider Details

I. General information

NPI: 1225344229
Provider Name (Legal Business Name): ANGELA R CASE MAMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3908 N PENIEL AVE
BETHANY OK
73008-3458
US

IV. Provider business mailing address

8104 NW 32ND ST
BETHANY OK
73008-4352
US

V. Phone/Fax

Practice location:
  • Phone: 405-250-1426
  • Fax: 405-603-6624
Mailing address:
  • Phone: 405-250-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: