Provider Demographics
NPI:1326897687
Name:EMPOWERMENT BEHAVIORAL HEALTH COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:EMPOWERMENT BEHAVIORAL HEALTH COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAVCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LPC-S
Authorized Official - Phone:405-519-4398
Mailing Address - Street 1:2500 MCGEE DR STE 112
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6705
Mailing Address - Country:US
Mailing Address - Phone:405-519-4398
Mailing Address - Fax:405-857-2432
Practice Address - Street 1:2500 MCGEE DR STE 112
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6705
Practice Address - Country:US
Practice Address - Phone:405-519-4398
Practice Address - Fax:405-857-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty