Corvetta Carpenter, BHRS
Individual provider Active NPI Counselor · Langston, OK
NPI 1417200544 · NPPES record last updated Oct 26, 2012
Key facts
- NPI
- 1417200544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2133 Hwy 33
Langston Commons Apt 15H
Langston, OK 73050-0400 - Phone
- (405) 612-6740
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2133 Hwy 33
Langston Commons Apt 15H
Langston, OK 73050-0400
Mailing address
PO Box 412
Langston, OK 73050-0412
Phone (405) 612-6740
Other providers in Langston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2012. 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.