| Counseling With Creative Options Pllc | |
|
6051 N Brookline Ave Ste 125 Oklahoma City OK 73112-4286 | |
| (405) 820-8885 | |
| (405) 286-9588 |
| Full Name | Counseling With Creative Options Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6051 N Brookline Ave Ste 125, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lana Raupe (MANAGER/OWNER) |
| Authorized Official Contact | 4058208885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling With Creative Options Pllc 6051 N Brookline Ave Ste 125 Oklahoma City OK 73112-4286 Ph: (405) 820-8885 | Counseling With Creative Options Pllc 6051 N Brookline Ave Ste 125 Oklahoma City OK 73112-4286 Ph: (405) 820-8885 |
| NPI Number | 1891553673 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 0244679181 |
|---|---|
| Medicare Enrollment ID | O20240411003943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891553673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lana Elaine Raupe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831496389 PECOS PAC ID: 6204275134 Enrollment ID: I20240411004363 |
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