Provider Demographics
NPI:1942601141
Name:ANGELA MAGARIAN, LCSW, CHRISTIAN COUNSELING, LLC
Entity Type:Organization
Organization Name:ANGELA MAGARIAN, LCSW, CHRISTIAN COUNSELING, LLC
Other - Org Name:ANGELA MAGARIAN, LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:MAGARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:405-292-0200
Mailing Address - Street 1:3750 W MAIN ST
Mailing Address - Street 2:SUITE AA
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4657
Mailing Address - Country:US
Mailing Address - Phone:405-292-0200
Mailing Address - Fax:800-230-9608
Practice Address - Street 1:3750 W MAIN ST
Practice Address - Street 2:SUITE AA
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4657
Practice Address - Country:US
Practice Address - Phone:405-292-0200
Practice Address - Fax:800-230-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOK770880Medicare PIN