NPI Code Detail JSON Logo

1689459166 NPI number — ABUNDANT GRACE COUNSELING SERVICES, INC.

NPI Number: 1689459166
Health Care Provider/Practitioner: ABUNDANT GRACE COUNSELING SERVICES, INC.

Information about “1689459166” NPI (ABUNDANT GRACE COUNSELING SERVICES, INC.) exists in 1689459166 in HTML format HTML  |  1689459166 in plain Text format TXT  |  1689459166 in PDF (Portable Document Format) PDF  |  1689459166 in an XML format XML  formats.

NPI Number : 1689459166 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689459166",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABUNDANT GRACE COUNSELING SERVICES, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7220 E 91ST CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74133-5300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-269-9511",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "531 E A ST STE 200B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JENKS",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74037-4349",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-269-9511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2023",
    "LastUpdateDate": "08/31/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PENA",
    "AuthorizedOfficialFirstName": "ANALISA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "918-269-9511",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.