=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952509150
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COPE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2007
-----------------------------------------------------
Last Update Date | 07/10/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2701 N OKLAHOMA AVE
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73105-2724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-528-8686
-----------------------------------------------------
Fax | 405-528-8692
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2701 N OKLAHOMA AVE
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73105-2724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-528-8686
-----------------------------------------------------
Fax | 405-528-8692
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | DR. WILLIE L HASKINS
-----------------------------------------------------
Credential | LPC, LMFT, LADC,
-----------------------------------------------------
Telephone | 405-528-8686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------