=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679372247
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GLOBAL TELEHEALTH SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2025
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1609 GREENBRIAR PLACE
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73159-7640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-735-3683
-----------------------------------------------------
Fax | 405-735-3524
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1609 GREENBRIAR PLACE
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-735-3683
-----------------------------------------------------
Fax | 405-735-3524
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | MR. OBIOHA CHUKWUMA NWABUGWU
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 214-254-0240
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------