DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RITA AGNES CROCKETT LPC, LADC

MEDICARE: RITA AGNES CROCKETT LPC, LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor32OK
2101YM0800XMental Health Counselor1898OK

General Provider Information

NPI Number : 1326079930
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA AGNES CROCKETT LPC, LADC
Provider Business Mailing Address
First Line : 3300 N VERMONT AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-3133
Country : US
Telephone Number : 405-850-5149
Fax Number : 405-946-7278
Provider Business Practice Location Address
First Line : 5228 CLASSEN CIR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4429
Country : US
Telephone Number : 405-840-9000
Fax Number : 405-840-9017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 10/14/2009

Similar Medicare Providers

1821101551 — MR. EDWIN LEE MILLER JR. MDIV MHR LPC LMFT LA
Practice Location Address:
5208 CLASSEN CIR
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-848-2370
Practice Fax: 405-810-0331
1043434368 — SPECIALIZED OUTPATIENT SERVICES, INC.
Practice Location Address:
5208 CLASSEN CIRCLE
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-810-1766
Practice Fax: 405-810-0331
1982826673 — MS. SHIRLEY JOYCE BECKENHAUER LADC
Practice Location Address:
5208 CLASSEN CIR
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-810-1766
Practice Fax: 405-810-0331
1144432972 — JOHN C. CULLEN CADC
Practice Location Address:
5208 CLASSEN CIR
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-810-1766
Practice Fax: 405-810-0331
1063624351 — SPECIALIZED OUTPATIENT SERVICES
Practice Location Address:
5208 CLASSEN CIR
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-810-1766
Practice Fax: 405-810-0331
1205048576 — SPECIALIZED OUTPATIENT SERVICES
Practice Location Address:
5208 CLASSEN CIR
OKLAHOMA CITY, OK
73118-4429
Practice Phone: 405-810-1766
Practice Fax:

Directions to “ RITA AGNES CROCKETT LPC, LADC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.