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General NPI Number Information
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NPI Number | 1063962215
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Entity Type | Organization
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Legal Business Name | SHAMROCK COUNSELING SERVICES LLP
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 502 W RANDOLPH AVE
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City | ENID
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State | OK
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Zip | 73701-3828
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Country | US
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Telephone | 580-540-2099
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Fax | 580-297-7010
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Provider Business Mailing Address
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Address Line | 502 W RANDOLPH AVE
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City | ENID
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State | OK
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Zip | 73701-3828
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Country | US
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Telephone | 580-540-2099
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Fax | 580-297-7010
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CODY WAYNE GROVES
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Credential | MS, LPC, NCC
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Telephone | 405-514-8628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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