NPI 1184429201 · live from the CMS NPI Registry
Community Network Counseling Service Ok LLC
Counselor, Professional in Clinton, OK. National Provider Identifier 1184429201, active.
NPI record
| NPI | 1184429201 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 223 E Terrace Ave, Clinton, OK 73601 |
| Practice phone | 702-205-7501 |
| Enumerated | February 13, 2025 |
| Last updated | February 13, 2025 |
| Authorized official | Essence Bolden, Owenr/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional primary | 101YP2500X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.