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NPI 1164889366

NPI 1164889366 : OKLAHOMA FAMILY COUNSELING CENTERS LLC : YUKON, OK

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General NPI Number Information
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    NPI Number           |    1164889366
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    Entity Type          |    Organization 
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    Legal Business Name  |    OKLAHOMA FAMILY COUNSELING CENTERS LLC 
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Dates
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    Enumeration Date     |    01/20/2016
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    1000 YUKON AVE 
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    City                 |    YUKON
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    State                |    OK
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    Zip                  |    73099-4690
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    Country              |    US
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    Telephone            |    405-265-4515
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    Fax                  |    405-577-5488
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1280 
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    City                 |    BETHANY
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    State                |    OK
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    Zip                  |    73008-1280
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    Country              |    US
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    Telephone            |    405-577-5477
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    Fax                  |    405-577-5488
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CYNTHIA M KEISER 
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    Credential           |    
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    Telephone            |    405-613-4354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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