Provider Demographics
NPI:1457645012
Name:OPTION UNLIMITED COUNSELOR
Entity Type:Organization
Organization Name:OPTION UNLIMITED COUNSELOR
Other - Org Name:OPTIONS UNLIMITED
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:REHABILITATION COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-286-1439
Mailing Address - Street 1:2325 NW 114TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-7316
Mailing Address - Country:US
Mailing Address - Phone:405-286-1439
Mailing Address - Fax:
Practice Address - Street 1:2325 NW 114TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-7316
Practice Address - Country:US
Practice Address - Phone:405-286-1439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health