Healthcare Provider Details

I. General information

NPI: 1003808031
Provider Name (Legal Business Name): AUSTIN JOHN MCBEE ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 PERIMETER CENTER DR SUITE 245
OKLAHOMA CITY OK
73112-2324
US

IV. Provider business mailing address

4200 PERIMETER CENTER DR SUITE 245
OKLAHOMA CITY OK
73112-2324
US

V. Phone/Fax

Practice location:
  • Phone: 405-947-7554
  • Fax: 405-947-7607
Mailing address:
  • Phone: 405-947-7554
  • Fax: 405-947-7607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number424
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number670
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: