Organization
NCD CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARISSA DENES LPC (PRESIDENT)
(405) 305-6139
Entity
Organization
Contact information
Practice address
3030 NW EXPRESSWAY FL 2, OKLAHOMA CITY, OK 73112-5474
(405) 698-1490
Mailing address
2233 NW 27TH ST, OKLAHOMA CITY, OK 73107-2515
(405) 305-6139
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4597
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396073169
—
OK
Enumeration date
10/12/2017
Last updated
10/12/2017
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