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General NPI Number Information
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NPI Number | 1538225693
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Entity Type | Organization
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Legal Business Name | INFINITY COUNSELING PLLC
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 W GRAY ST STE 409
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City | NORMAN
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State | OK
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Zip | 73069-7141
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Country | US
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Telephone | 405-615-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W GRAY ST STE 409
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City | NORMAN
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State | OK
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Zip | 73069-7141
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Country | US
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Telephone | 405-615-4464
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Fax |
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Authorized Official
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Title or Position | CO OWNER THERAPIST
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Name | MRS. DEANNA WILKINSON
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Credential | LCSW
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Telephone | 405-408-3213
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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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