Provider Demographics
NPI:1073284873
Name:SILVER SPRINGS COUNSELING, LLC
Entity Type:Organization
Organization Name:SILVER SPRINGS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SATWALEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-627-1378
Mailing Address - Street 1:516 OLD ENGLISH RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-6247
Mailing Address - Country:US
Mailing Address - Phone:405-627-1378
Mailing Address - Fax:
Practice Address - Street 1:4334 NW EXPRESSWAY STE 222
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1516
Practice Address - Country:US
Practice Address - Phone:405-627-1378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7667OtherLPC LICENSE