# NOVUS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770857336
- **Authorized official:** ANGELA FULTZ LPC (COUNSELOR)
- **Authorized official phone:** (405) 830-8466

## Contact information

- **Practice address:** 5700 N PORTLAND AVE, SUITE 310, OKLAHOMA CITY, OK 73112-1668
- **Practice address phone:** (405) 830-8466
- **Mailing address:** 7620 NW 14TH TER, OKLAHOMA CITY, OK 73127-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 02/29/2012