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Organization

MAPLE LIFE SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMILOLA AKINTOLA LADC/MH (OWNER)
(405) 839-7600
Entity
Organization

Contact information

Practice address
5601 NW 72ND ST, WARR ACRES, OK 73132-5931
(405) 839-7600
Mailing address
5013 OAK MANOR DR, OKLAHOMA CITY, OK 73135-2235

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760021984
OK
Enumeration date
09/28/2023
Last updated
12/22/2023
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