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General NPI Number Information
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NPI Number | 1528855301
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Entity Type | Organization
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Legal Business Name | WILDFLOWER FLAME COUNSELING, PLLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 4317 SW 22ND ST APT 104
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City | OKLAHOMA CITY
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State | OK
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Zip | 73108-1906
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Country | US
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Telephone | 405-254-8554
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 S. PENNSYLVANIA AVE STE 16 #556
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MYKAYLA BIXLER
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Credential |
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Telephone | 405-318-0050
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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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