Provider Demographics
NPI:1316233190
Name:R.V. MCLAUCHLIN, INC
Entity type:Organization
Organization Name:R.V. MCLAUCHLIN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REX
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MCLAUCHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MA, LPC
Authorized Official - Phone:405-819-6192
Mailing Address - Street 1:2644 NW 118TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-7012
Mailing Address - Country:US
Mailing Address - Phone:405-819-6192
Mailing Address - Fax:
Practice Address - Street 1:1755 W 33RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3854
Practice Address - Country:US
Practice Address - Phone:405-819-6192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty