Wellformed AI

NPI 1366249633 · live from the CMS NPI Registry

All I Can Be, LLC

Counselor, Mental Health in Owasso, OK. National Provider Identifier 1366249633, active.

NPI record

NPI1366249633 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location13720 E 86th St N Ste 170, Owasso, OK 74055
Practice phone918-516-8128
Mailing address25625 Briar Dr, Claremore, OK 74019
EnumeratedFebruary 25, 2025
Last updatedFebruary 25, 2025
Authorized officialBrittany Garoutte, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800X—
Counselor, Professional101YP2500X—
Social Worker, Clinical1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.