Provider Demographics
NPI:1467022392
Name:SAGACITY COUNSELING AND NEUROTHERAPEUTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:SAGACITY COUNSELING AND NEUROTHERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:SAUNDERS
Authorized Official - Last Name:SSHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:918-609-2878
Mailing Address - Street 1:915 DENISON ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-5932
Mailing Address - Country:US
Mailing Address - Phone:479-276-8871
Mailing Address - Fax:
Practice Address - Street 1:7902 FERN MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-7207
Practice Address - Country:US
Practice Address - Phone:479-276-8871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty