Organization
SECOND ACT COUNSELING, COACHING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA HINSHAW LPC, LADC (OWNER)
(405) 496-6314
Entity
Organization
Contact information
Practice address
8904 STANFORD CT, OKLAHOMA CITY, OK 73132-2601
(405) 496-6314
Mailing address
5830 NW EXPRESSWAY, BOX 140, WARR ACRES, OK 73132-0000
(405) 496-6314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548564651
—
OK
Enumeration date
08/14/2020
Last updated
08/18/2020
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