Larry Dean Wilmoth in Oklahoma City - Counselor
Larry Dean Wilmoth - NPI 1770787525
Larry Dean Wilmoth is a Counselor in Oklahoma City, Oklahoma. Larry Dean Wilmoth practices all healthcare services and medical treatments related to Counselor. The NPI Number for Larry Dean Wilmoth is 1770787525. The last update date is 2007-07-08.
Larry Dean Wilmoth's current location address is 4436 Nw 50th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4058582733 and fax number 4058582810. The mailing address for Larry Dean Wilmoth is 4436 Nw 50th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dean Wilmoth |
|---|---|
| Address | 4436 Nw 50th St, Oklahoma City, Oklahoma |
| Phone Number | 4058582733 |
| Fax Number | 4058582810 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770787525 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4436 Nw 50th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731122212 |
| Phone Number | 4058582733 |
| Fax Number | 4058582810 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry Dean Wilmoth by the Centers for Medicare & Medicaid Services?
The Larry Dean Wilmoth has been issued the NPI (National Provider Identifier) 1770787525, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Larry Dean Wilmoth is physically located?
The Larry Dean Wilmoth is physically situated at the following address: 4436 Nw 50Th St, Oklahoma City, OK, 731122212.
What is Larry Dean Wilmoth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Dean Wilmoth is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770787525 to Larry Dean Wilmoth?
The Centers for Medicare & Medicaid Services originally issued the 1770787525 to Larry Dean Wilmoth on 2007-06-14.
As of what date were the details related to Larry Dean Wilmoth most recently updated or revised?
The information pertaining to Larry Dean Wilmoth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.