Healthcare Provider Details

I. General information

NPI: 1295072106
Provider Name (Legal Business Name): COUNSELING INSIGHT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6307 WATERFORD BLVD STE 127
OKLAHOMA CITY OK
73118-1125
US

IV. Provider business mailing address

6307 WATERFORD BLVD STE 127
OKLAHOMA CITY OK
73118-1125
US

V. Phone/Fax

Practice location:
  • Phone: 405-778-1847
  • Fax: 888-742-7095
Mailing address:
  • Phone: 405-778-1847
  • Fax: 888-742-7095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1816
License Number StateOK

VIII. Authorized Official

Name: SHERRY DAWN DRIGGS
Title or Position: PRESIDENT
Credential: LPC
Phone: 405-778-1847