MEDICARE: KRISTY MCCUNE M.S., BHCM-II

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1295913036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY MCCUNE M.S., BHCM-II

Provider Business Mailing Address
First Line	:	9212 N KELLEY AVE STE 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73131-2419
Country	:	US
Telephone Number	:	580-650-9560
Fax Number	:

Provider Business Practice Location Address
First Line	:	9212 N KELLEY AVE STE 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73131-2419
Country	:	US
Telephone Number	:	405-242-5070
Fax Number	:	405-242-5071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	03/05/2026

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