Counseling Center Of Se Oklahoma
LBN: Camelot Community Services Of Oklahoma, Llc
Counseling Center Of Se Oklahoma is an health care organization with primary practice located at 100 N Broadway St , Broken Bow OK 74728-3934. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Camelot Community Services Of Oklahoma, Llc can be contacted via phone (580) 584-6054, or through Levy, Derrel via phone (580) 298-2830.
Contact Information
Primary practice address
100 N Broadway St
Broken Bow OK 74728-3934
Phone: (580) 584-6054
Fax:
Website:
Authorized official contact:
Name: Levy, Derrel Licensed Professional Counselor (LPC)
Phone: (580) 298-2830
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1699838565 |
|---|---|
| LBN Legal business name | Camelot Community Services Of Oklahoma, Llc |
| DBA Doing business as | Counseling Center Of Se Oklahoma |
| Authorized official | Levy, Derrel Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Nov 18th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699838565 | NPPES |
| Oklahoma | MEDICAID | 100744370D |
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