Healthcare Provider Details

I. General information

NPI: 1902734189
Provider Name (Legal Business Name): CENTRAL PLAINS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9237 NW 86TH ST
YUKON OK
73099-6194
US

IV. Provider business mailing address

9237 NW 86TH ST
YUKON OK
73099-6194
US

V. Phone/Fax

Practice location:
  • Phone: 405-245-3627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LEXUS WHITE
Title or Position: OWNER
Credential:
Phone: 405-245-3627