Renegade Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5354 Issued in OK

Legal business name

RENEGADE COUNSELING, PLLC

Practice address

809-B South Birch Street
Muldrow, OK 74948

Phone

(918) 427-3944

NPI assigned

May 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robby Gene Plymale, LPC

Title

Clinical Director

Phone

(918) 427-3944

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1902285877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "749480262",
            "telephone_number": "918-427-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809-B SOUTH BIRCH STREET",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "74948",
            "telephone_number": "918-427-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEGADE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PLYMALE",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "918-427-3944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Muldrow, OK
• Providers in Muldrow, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.