Provider Demographics
NPI:1639939846
Name:A NEW NORMAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:A NEW NORMAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SYITA
Authorized Official - Middle Name:T
Authorized Official - Last Name:RODRIGUEZ-BLASH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:316-214-8773
Mailing Address - Street 1:1316 NW 171ST ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-7420
Mailing Address - Country:US
Mailing Address - Phone:316-214-8773
Mailing Address - Fax:
Practice Address - Street 1:11901 N MACARTHUR BLVD STE D3
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-1855
Practice Address - Country:US
Practice Address - Phone:316-214-8773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200952550-AMedicaid