NPI 1649553876

Rural Area Counseling

Organisation Preferred Provider Organization Shawnee, OK

Practice location

Address: 2508 N Harrison St, Shawnee, OK 74804-3131
Phone: (405) 275-2877
Fax: (405) 275-2499

Authorised official

Name: Lisha D Henson
Title: Owner
Phone: (405) 275-0867

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 22144 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1649553876
Entity type: Organization
NPI issued: 23 Sep 2011
Record last updated: 23 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.