Covington, Mike

Covington, Mike is an individual health care provider with primary practice located at 425 S Fretz Ave , Edmond OK 73003-5532. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Covington, Mike can be contacted via phone (405) 726-9808.

Contact Information

Primary practice address
425 S Fretz Ave Edmond OK 73003-5532
Phone: (405) 726-9808
Fax: (405) 726-9809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 536 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3610 Oklahoma

Profile Details

NPI number 1457572257
LBN Legal business name Covington, Mike
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 17th, 2018 - about 7 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 1457572257 NPPES
Oklahoma Other 12593360 CAQH
Oklahoma MEDICAID 200379200A CAQH

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