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NPI Code Detail

MEDICARE: TANGIE ATKINS

MEDICARE: TANGIE ATKINS
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
1225C00000XRehabilitation CounselorLICENSEOK
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1740563212
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANGIE ATKINS
Provider Business Mailing Address
First Line : 3838 NW 36TH ST STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2916
Country : US
Telephone Number : 405-702-9032
Fax Number : 405-702-9031
Provider Business Practice Location Address
First Line : 3838 NW 36TH ST STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2916
Country : US
Telephone Number : 405-702-9032
Fax Number : 405-702-9031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 05/19/2014

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Directions to “ TANGIE ATKINS ” Practice Location

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