Provider Demographics
NPI:1508692047
Name:FREEMAN-COOPER MENTAL HEALTH & WELLNESS SERVICES
Entity type:Organization
Organization Name:FREEMAN-COOPER MENTAL HEALTH & WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-201-1351
Mailing Address - Street 1:300 BUSH CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-8438
Mailing Address - Country:US
Mailing Address - Phone:405-201-1351
Mailing Address - Fax:
Practice Address - Street 1:100 NE 5TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-2228
Practice Address - Country:US
Practice Address - Phone:405-201-1351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty