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Contact Information

ADDICTION WELLNESS CENTER OK LLC
1800 E MEMORIAL RD STE 101
OKLAHOMA CITY, OK73131-1827
 Phone: 405-446-5714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADDICTION WELLNESS CENTER OK LLC

NPI # 1124719596
LBN Legal business name ADDICTION WELLNESS CENTER OK LLC
Authorized official JESSIE COSTLEY - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2023
Last updated 04/23/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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