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General NPI Number Information
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NPI Number | 1235606393
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Entity Type | Organization
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Legal Business Name | UPTOWN COUNSELING LLC
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 416 NW 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-1508
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Country | US
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Telephone | 405-310-7463
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Fax | 405-494-8618
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Provider Business Mailing Address
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Address Line | 616 NW 21ST ST STE 105
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-1861
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Country | US
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Telephone | 405-310-7463
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Fax | 405-494-8618
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | KELLY WHELAN
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Credential | LCSW
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Telephone | 405-310-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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