Provider Demographics
NPI:1386863140
Name:MAXIMIZING POTENTIAL, INC
Entity Type:Organization
Organization Name:MAXIMIZING POTENTIAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-622-1941
Mailing Address - Street 1:9820 E 41ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-3651
Mailing Address - Country:US
Mailing Address - Phone:918-622-1941
Mailing Address - Fax:918-622-0809
Practice Address - Street 1:9820 E 41ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3651
Practice Address - Country:US
Practice Address - Phone:918-622-1941
Practice Address - Fax:918-622-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services