Healthcare Provider Details

I. General information

NPI: 1366249633
Provider Name (Legal Business Name): ALL I CAN BE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13720 E 86TH ST N STE 170
OWASSO OK
74055-8741
US

IV. Provider business mailing address

25625 BRIAR DR
CLAREMORE OK
74019-4512
US

V. Phone/Fax

Practice location:
  • Phone: 918-516-8128
  • Fax: 539-399-7548
Mailing address:
  • Phone: 918-516-8128
  • Fax: 539-399-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. BRITTANY LAYNE GAROUTTE
Title or Position: OWNER
Credential: LPC
Phone: 918-516-8128