| Uptown Counseling Llc | |
|
416 Nw 23rd St Oklahoma City OK 73103-1508 | |
| (405) 310-7463 | |
| (405) 494-8618 |
| Full Name | Uptown Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 416 Nw 23rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kelly Whelan (OWNER/ THERAPIST) |
| Authorized Official Contact | 4053107463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Counseling Llc 616 Nw 21st St Ste 105 Oklahoma City OK 73103-1861 Ph: (405) 310-7463 | Uptown Counseling Llc 416 Nw 23rd St Oklahoma City OK 73103-1508 Ph: (405) 310-7463 |
| NPI Number | 1235606393 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 0446637508 |
|---|---|
| Medicare Enrollment ID | O20220512000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235606393 | NPI | - | NPPES |
| 1629327358 | Other | OK | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly Rose Whelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629327358 PECOS PAC ID: 1355728411 Enrollment ID: I20220512000260 |
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