Provider Demographics
NPI:1497117725
Name:MILLION COUNSELING AND PROFESSIONAL DEVELOPMENT, PLLC
Entity type:Organization
Organization Name:MILLION COUNSELING AND PROFESSIONAL DEVELOPMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLION
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-831-1573
Mailing Address - Street 1:2513 DEER CHASE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3929
Mailing Address - Country:US
Mailing Address - Phone:405-831-1573
Mailing Address - Fax:
Practice Address - Street 1:4900 RICHMOND SQ STE 107
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2043
Practice Address - Country:US
Practice Address - Phone:405-831-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health