=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265579718
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATASHA L ALLMON LADC ,MA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2007
-----------------------------------------------------
Last Update Date | 06/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5350 S WESTERN AVE STE 530
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73109-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-258-6866
-----------------------------------------------------
Fax | 405-400-0162
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5350 S WESTERN AVE STE 536
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73109-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-258-6866
-----------------------------------------------------
Fax | 405-400-0162
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 5919
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 163
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------