Healthcare Provider Details
I. General information
NPI: 1215638184
Provider Name (Legal Business Name): SOUGHT OUT SOLUTIONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2023
Last Update Date: 03/16/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3801 NW 63RD STREET BLOCK 3, SUITE 155
OKLAHOMA CITY OK
73116
US
IV. Provider business mailing address
3801 NW 63RD STREET BLOCK 3, SUITE 155
OKLAHOMA CITY OK
73116
US
V. Phone/Fax
- Phone: 347-579-8416
- Fax:
- Phone: 347-579-8416
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FEMI
BENJAMIN
FAFUNMI
Title or Position: CEO
Credential: LPC-S
Phone: 347-579-8416