Provider Demographics
NPI:1093926933
Name:ALL ABOUT YOU LLC
Entity Type:Organization
Organization Name:ALL ABOUT YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:580-310-0444
Mailing Address - Street 1:124 SOUTH BROADWAY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-5807
Mailing Address - Country:US
Mailing Address - Phone:580-310-0444
Mailing Address - Fax:580-310-0442
Practice Address - Street 1:124 SOUTH BROADWAY
Practice Address - Street 2:SUITE 309
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-5807
Practice Address - Country:US
Practice Address - Phone:580-310-0444
Practice Address - Fax:580-310-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services