MEDICARE: PERCEPTIVE COUNSELING 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1477011195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERCEPTIVE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	PO BOX 22994
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73123-1994
Country	:	US
Telephone Number	:	405-312-3630
Fax Number	:	405-445-7669

Provider Business Practice Location Address
First Line	:	917 CEDAR LAKE BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7813
Country	:	US
Telephone Number	:	405-312-3630
Fax Number	:	405-445-7669

Authorized Official
Title or Position	:	LPC / MANAGER
Name	:	VICKIE ALEXANDER
Credential	:	M.S., LPC
Telephone Number	:	405-312-3630

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	06/02/2021

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