Healthcare Provider Details

I. General information

NPI: 1528612439
Provider Name (Legal Business Name): DEACONESS PREGNANCY & ADOPTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8308 N MAY AVE STE 100
OKLAHOMA CITY OK
73120-4551
US

IV. Provider business mailing address

8308 N MAY AVE STE 100
OKLAHOMA CITY OK
73120-4551
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-4200
  • Fax: 405-720-8686
Mailing address:
  • Phone: 405-949-4200
  • Fax: 405-720-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER HAILS
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 405-949-4200