Indigo Bridge Counseling, Pllc

LBN: Indigo Bridge Counseling, Pllc
Indigo Bridge Counseling, Pllc is an health care organization with primary practice located at 1541 E 61St St , Tulsa OK 74136-0718. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Indigo Bridge Counseling, Pllc can be contacted via phone (918) 891-6928, or through Daniel, Marilyn A via phone (918) 891-6928.

Contact Information

Primary practice address
1541 E 61St St Tulsa OK 74136-0718
Phone: (918) 891-6928
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Marilyn A Licensed Professional Counselor (LPC)
Phone: (918) 891-6928

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1124601125
LBN Legal business name Indigo Bridge Counseling, Pllc
DBA Doing business as
Authorized official Daniel, Marilyn A Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2021
Last updated Apr 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124601125 NPPES
Oklahoma Other 7580 LPC LICENSE

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