Pilgrim, Deana Laverne
Pilgrim, Deana Laverne is an sole proprietor health care provider with primary practice located at 106 S 3Rd St , Mcalester OK 74501-5300. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Pilgrim, Deana Laverne can be contacted via phone (918) 421-8880.Contact Information
Primary practice address
106 S 3Rd St
Mcalester OK 74501-5300
Phone: (918) 421-8880
Fax: (918) 421-8929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1356672422 |
|---|---|
| LBN Legal business name | Pilgrim, Deana Laverne |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Nov 7th, 2023 - about last year |
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 | 1356672422 | NPPES |
| Oklahoma | MEDICAID | 200380750B | |
| Oklahoma | MEDICAID | 200380750A |
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