Lifespan Counseling Professionals in Durant - Community/behavioral Health
Lifespan Counseling Professionals - NPI 1013092626
Lifespan Counseling Professionals is a Community/behavioral Health in Durant, Oklahoma. Lifespan Counseling Professionals practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lifespan Counseling Professionals is 1013092626. The last update date is 2020-08-22.
Lifespan Counseling Professionals's current location address is 212 W Evergreen St, Durant, Oklahoma. You can contact this provider via phone number 5809319901. The mailing address for Lifespan Counseling Professionals is 212 W Evergreen St, Durant, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifespan Counseling Professionals |
|---|---|
| Address | 212 W Evergreen St, Durant, Oklahoma |
| Phone Number | 5809319901 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Southerland Mae Hazel |
| Credentials | MBS, LPC |
| Telephone Number | 5809319901 |
NPI Number Detail
| NPI Number | 1013092626 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 212 W Evergreen St |
|---|---|
| City | Durant |
| State | Oklahoma (OK) |
| Post Code | 747014710 |
| Phone Number | 5809319901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique provider identifier assigned to Lifespan Counseling Professionals?
The Lifespan Counseling Professionals has been issued the NPI (National Provider Identifier) 1013092626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lifespan Counseling Professionals's facilities are situated?
The facilities of Lifespan Counseling Professionals are physically located at the following address: 212 W Evergreen St, Durant, OK, 747014710.
What is Lifespan Counseling Professionals's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lifespan Counseling Professionals is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date was the 1013092626 assigned to Lifespan Counseling Professionals?
The Lifespan Counseling Professionals was issued its 1013092626 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lifespan Counseling Professionals last refreshed?
The information related to the Lifespan Counseling Professionals, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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