Provider Demographics
NPI:1801914064
Name:UNITED CARE L.L.C.
Entity type:Organization
Organization Name:UNITED CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:EARLETTA
Authorized Official - Last Name:FOGLESONG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:405-843-3400
Mailing Address - Street 1:6701 BROADWAY EXT
Mailing Address - Street 2:SUITE 211
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-8237
Mailing Address - Country:US
Mailing Address - Phone:405-843-3400
Mailing Address - Fax:405-843-8800
Practice Address - Street 1:6701 BROADWAY EXT
Practice Address - Street 2:SUITE 211
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-8237
Practice Address - Country:US
Practice Address - Phone:405-843-3400
Practice Address - Fax:405-843-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty