Allen, Shantana Sue

Allen, Shantana Sue is an sole proprietor health care provider with primary practice located at 4502 E 41St St Ou Impact, Tulsa OK 74135-2536. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Allen, Shantana Sue can be contacted via phone (918) 660-3150.

Contact Information

Primary practice address
4502 E 41St St Ou Impact Tulsa OK 74135-2536
Phone: (918) 660-3150
Fax: (918) 660-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6166 Oklahoma
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1942625165
LBN Legal business name Allen, Shantana Sue
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2014
Last updated Dec 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942625165 NPPES
Oklahoma MEDICAID 200532970A

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