NPI 1174952568 · live from the CMS NPI Registry
Jimmy Bagsby
Counselor, Mental Health in Oklahoma City, OK. National Provider Identifier 1174952568, active.
NPI record
| NPI | 1174952568 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 9156 N Macarthur Blvd, Oklahoma City, OK 73132 |
| Practice phone | 405-414-4303 |
| Enumerated | November 6, 2013 |
| Last updated | November 6, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
| Social Worker | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.