Provider Demographics
NPI:1720736879
Name:ROXANNA COUNSELING LLC
Entity Type:Organization
Organization Name:ROXANNA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMJOU-KHALES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-278-1527
Mailing Address - Street 1:1620 WOODCREEK CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1995
Mailing Address - Country:US
Mailing Address - Phone:405-278-1527
Mailing Address - Fax:
Practice Address - Street 1:1620 WOODCREEK CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-1995
Practice Address - Country:US
Practice Address - Phone:405-278-1527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health