Susan Lea Hollingsworth
Individual provider Active NPI Mental Health Counselor · Oklahoma City, OK
NPI 1295913440 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1295913440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104 - Phone
- (405) 424-7711
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Counseling, LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Mailing address
1001 Bronze Medal Rd
Moore, OK 73160-7973
Phone (405) 912-4413
Other providers in Oklahoma City, OK
- Brent Keith Holliman
- Alan B. Hollingsworth
- Bonnie L Hollingsworth
- Kyle Evan Hollingsworth
- Michelle Hollingsworth
- Breya Hollins
- William Hollins
- Felicia Ave Hollis
- Ashley Adams Holloman
- Taylor Renee Holloman
All providers in Oklahoma City, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.