Organization
THE LAUGHING SHARK, INC.
Active
Other names
ADSAC OKC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE J WILLIAMS M.ED, LPC, LADC/MH (OWNER)
(405) 519-7471
Entity
Organization
Contact information
Practice address
11212 N MAY AVE STE 107, OKLAHOMA CITY, OK 73120
(405) 229-3237
Mailing address
PO BOX 20326, OKLAHOMA CITY, OK 73156-0326
(405) 229-3237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1111
OK
101YP2500X
Professional Counselor
5258
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
599
ADSAC ASSESSMENTS
OK
Enumeration date
05/11/2017
Last updated
08/08/2020
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