Provider Demographics
NPI:1326441650
Name:COUNSELING WITH A TWIST
Entity Type:Organization
Organization Name:COUNSELING WITH A TWIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TROMPETER
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LPC CANDIDATE
Authorized Official - Phone:405-204-1145
Mailing Address - Street 1:4113 HIDDEN LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-5428
Mailing Address - Country:US
Mailing Address - Phone:405-204-1145
Mailing Address - Fax:
Practice Address - Street 1:4113 HIDDEN LAKE CIR
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5428
Practice Address - Country:US
Practice Address - Phone:405-204-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty