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NPI Code Detail

MEDICARE: PHILLIPPE COUNSELING & CONSULTING PLLC

MEDICARE: PHILLIPPE COUNSELING & CONSULTING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1013898014
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILLIPPE COUNSELING & CONSULTING PLLC
Provider Business Mailing Address
First Line : 2608 GREENFIELD DR
Second Line :
City : EDMOND
State : OK
Zip : 73012-6528
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 W MEMORIAL RD STE 218
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6103
Country : US
Telephone Number : 405-313-8581
Fax Number :
Authorized Official
Title or Position : OWNER/LPC
Name : PERIANNE PHILLIPPE
Credential : LPC
Telephone Number : 405-313-8581
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/10/2025

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