Healthcare Provider Details

I. General information

NPI: 1659794964
Provider Name (Legal Business Name): MICHELLE CHRISTINE BAKER-RHODES M. ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 NW 34TH ST
OKLAHOMA CITY OK
73112-7827
US

IV. Provider business mailing address

2441 NW 34TH ST
OKLAHOMA CITY OK
73112-7827
US

V. Phone/Fax

Practice location:
  • Phone: 405-922-8378
  • Fax:
Mailing address:
  • Phone: 405-922-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number302286
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: