Cook, Amanda Dawn
Cook, Amanda Dawn is an individual health care provider with primary practice located at 608 Wood Crest St , Moore OK 73160-6022. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cook, Amanda Dawn can be contacted via phone (405) 227-2860.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1972673358 |
|---|---|
| LBN Legal business name | Cook, Amanda Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Oct 22nd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972673358 | NPPES |
| Oklahoma | MEDICAID | 100685660A | |
| Oklahoma | MEDICAID | 100685660D |
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