Allen, Mongo

Allen, Mongo is an sole proprietor health care provider with primary practice located at 829 Nw 142Nd St , Edmond OK 73013-1962. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is his primary health care specialty. Allen, Mongo can be contacted via phone (405) 315-0855.

Contact Information

Primary practice address
829 Nw 142Nd St Edmond OK 73013-1962
Phone: (405) 315-0855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1083058523
LBN Legal business name Allen, Mongo
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2013
Last updated Apr 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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