Provider Demographics
NPI:1477687226
Name:LOOKING INWARD PLLC
Entity Type:Organization
Organization Name:LOOKING INWARD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDWARDS-GAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:704-737-2061
Mailing Address - Street 1:P.O. BOX 720888
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172
Mailing Address - Country:US
Mailing Address - Phone:704-737-2061
Mailing Address - Fax:704-731-0844
Practice Address - Street 1:16301 SONOMA PARK DRIVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:704-737-2061
Practice Address - Fax:704-731-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4569101YP2500X
OKLPC#5777101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141EHOtherBCBS OF NC
NC3672OtherCBHA
NC9460418OtherPRIVATE HEALTHCARE SYSTEM
NC6102982Medicaid