MR. ETTIENE EDEMIDIONG
NPI 1285014027
Counselor - Mental Health in Oklahoma City, OK

Active since June 07, 2015
4200 N MERIDIAN AVE, APT 433, OKLAHOMA CITY, OK 73112(281) 740-5572 Get Directions Write a Review

NPPES record last updated: June 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ettiene Edemidiong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETTIENE EDEMIDIONG (NPI 1285014027) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1285014027
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ETTIENE EDEMIDIONG
Location Address4200 N MERIDIAN AVE, APT 433Oklahoma City, OK 73112-2628
Mailing Address4200 N Meridian Ave, Apt 433Oklahoma City, OK 73112-2628 · (281) 740-5572
Sole ProprietorYes
Enumeration DateJune 7, 2015
NPI 1285014027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4200 N MERIDIAN AVE, Oklahoma City, OK 73112

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
4200 N MERIDIAN AVE
OKLAHOMA CITY, OK 73112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ettiene Edemidiong's NPI number?

The NPI number for Ettiene Edemidiong is 1285014027. It was assigned to this individual provider in the NPPES registry on June 7, 2015.

Where is Ettiene Edemidiong located?

Ettiene Edemidiong practices at 4200 N Meridian Ave Apt 433, Oklahoma City, OK 73112. The listed phone number is (281) 740-5572.

What is Ettiene Edemidiong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ettiene Edemidiong was last updated on June 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.