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SOUTHERN NAZARENE UNIVERSITY NPI 1871069245


NPI Information

NPI: 1871069245
Provider Name: SOUTHERN NAZARENE UNIVERSITY

Doing Business As: RENEW COUNSELING CENTER @SNU

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 37D0931764

Address:
6612 NW 42ND ST
BETHANY, OK
ZIP 73008
Phone: (405) 717-6200
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SOUTHERN NAZARENE UNIVERSITY is a mental health counselor in Bethany, OK. SOUTHERN NAZARENE UNIVERSITY NPI is 1871069245. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Renew Counseling Center @snu.

The provider's business location address is:

6612 NW 42ND ST
BETHANY, OK
ZIP 73008-764
Phone: (405) 717-6200

The provider's authorized official is Holly N Sapp .
The authorized official title is Executive Clinical Director and has the following contact phone number (405) 717-6200.

The CLIA number assigned to this NPI record is 37D0931764 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/19/2021.


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
1101YM0800XCounselorMental HealthYes

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

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