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Contact Information

RENEGADE COUNSELING, PLLC
809-B SOUTH BIRCH STREET
MULDROW, OK74948
 Phone: 918-427-3944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for RENEGADE COUNSELING, PLLC

NPI # 1902285877
LBN Legal business name RENEGADE COUNSELING, PLLC
Authorized official ROBBY PLYMALE - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2015
Last updated 05/26/2015 - About 11 years ago
Identifiers
OK License # 5354
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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