MAGAN MARIE WILLINGHAM LPC NPI 1235417643

NPI Information

NPI: 1235417643
Provider Name: MAGAN MARIE WILLINGHAM, LPC
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2100 SE WASHINGTON ST
IDABEL, OK
ZIP 74745
Phone: (580) 298-5062
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Magan Marie Willingham, LPC is a mental health (including community mental health center) clinic center in Idabel, OK. Magan Marie Willingham, LPC NPI is 1235417643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 SE WASHINGTON ST
IDABEL, OK
ZIP 74745-449
Phone: (580) 298-5062
Fax: (580) 298-9958

The enumeration date for this NPI number is 8/2/2011 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200049040	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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