Pennington Creek Lifehouse

LBN: Pennington Creek Lifehouse
Pennington Creek Lifehouse is an health care organization with primary practice located at 705 W Main St , Tishomingo OK 73460-1734. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Pennington Creek Lifehouse can be contacted via phone (580) 371-3799, or through Owens, Jan M via phone (580) 371-3799.

Contact Information

Primary practice address
705 W Main St Tishomingo OK 73460-1734
Phone: (580) 371-3799
Fax: (580) 371-2056
Website:
Map and Directions
Authorized official contact:
Name: Owens, Jan M M.S. LPC
Phone: (580) 371-3799

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1962799593
LBN Legal business name Pennington Creek Lifehouse
DBA Doing business as
Authorized official Owens, Jan M M.S. LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2011
Last updated Jul 4th, 2011 - about 13 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.

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