Mckoy, Maxine Diana

Mckoy, Maxine Diana is an sole proprietor health care provider with primary practice located at 1843 E 15Th St , Tulsa OK 74104-4610. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mckoy, Maxine Diana can be contacted via phone (918) 951-5727.

Contact Information

Primary practice address
1843 E 15Th St Tulsa OK 74104-4610
Phone: (918) 951-5727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1134440662
LBN Legal business name Mckoy, Maxine Diana
Credentials THERAPIST/COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2010
Last updated Jun 18th, 2010 - about 16 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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