=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588200943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW VIEW COUNSELING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2019
-----------------------------------------------------
Last Update Date | 11/20/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 S PARK ST
-----------------------------------------------------
City | SAPULPA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74066-5231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-729-6201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15055 S BOYD PL
-----------------------------------------------------
City | SAPULPA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74066-1071
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-361-2800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERPIST
-----------------------------------------------------
Name | ANTHONY MICHAEL BEARD
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 918-729-6201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------