MEDICARE: HELPING HANDS OUTREACH AND COUNSELING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	207Q00000X	Family Medicine Physician
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1699281196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS OUTREACH AND COUNSELING LLC

Provider Business Mailing Address
First Line	:	4334 NW EXPRESSWAY STE 175
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1574
Country	:	US
Telephone Number	:	405-642-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	4334 NW EXPRESSWAY STE 175
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1574
Country	:	US
Telephone Number	:	405-642-2222
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNDI SPARKS
Credential	:
Telephone Number	:	405-642-2222

Provider Enumeration Date	:	12/19/2017
Last Update Date	:	12/19/2017

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