The Jetty Counseling Center

LBN: Jim Wallace And Associates Incorporated
The Jetty Counseling Center is an health care organization with primary practice located at 119 N. Broadway Suite 7, Ada OK 74820. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jim Wallace And Associates Incorporated can be contacted via phone (580) 310-0860, or through Wallace, James E via phone (405) 665-4385.

Contact Information

Primary practice address
119 N. Broadway Suite 7 Ada OK 74820
Phone: (580) 310-0860
Fax: (405) 665-6396
Website:
Map and Directions
Authorized official contact:
Name: Wallace, James E
Phone: (405) 665-4385

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1164557492
LBN Legal business name Jim Wallace And Associates Incorporated
DBA Doing business as The Jetty Counseling Center
Authorized official Wallace, James E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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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