1659514164 NPI number — COUNSELING INTERVENTIONS & STRATEGIES LLC

Table of content: TAKEISHA LATRICE ZEIGLER REGISTERED NURSE (NPI 1609155480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659514164 NPI number — COUNSELING INTERVENTIONS & STRATEGIES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNSELING INTERVENTIONS & STRATEGIES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659514164
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 NE 4TH ST
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73117-3003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-601-5566
Provider Business Mailing Address Fax Number:
405-601-5569

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 NE 4TH ST
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73117-3003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-601-5566
Provider Business Practice Location Address Fax Number:
405-601-5569
Provider Enumeration Date:
04/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDSON MUMINA
Authorized Official First Name:
JOYCE
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
THERAPIST
Authorized Official Telephone Number:
405-922-2769

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  S2440 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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