Provider Demographics
NPI:1407438930
Name:AHNI WAKAYA COUNSELING & CONSULTING INC
Entity type:Organization
Organization Name:AHNI WAKAYA COUNSELING & CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEASHINTUBBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LADC
Authorized Official - Phone:918-470-4260
Mailing Address - Street 1:301 E MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WILBURTON
Mailing Address - State:OK
Mailing Address - Zip Code:74578-4415
Mailing Address - Country:US
Mailing Address - Phone:918-470-4260
Mailing Address - Fax:
Practice Address - Street 1:301 E MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-4415
Practice Address - Country:US
Practice Address - Phone:918-470-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)