MR. LAMONT RUDOLPH MALCOLM LADC, CBHCM - NPI 1528198561

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Mr. Lamont Rudolph Malcolm Ladc, Cbhcm NPPES

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

MR. LAMONT RUDOLPH MALCOLM LADC, CBHCM (NPI 1528198561) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (698) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1528198561

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. LAMONT RUDOLPH MALCOLMCredential: LADC, CBHCM

Location Address2701 N OKLAHOMA AVEOklahoma City, OK 73105-2724

Mailing Address2701 N Oklahoma AveOklahoma City, OK 73105-2724 · (405) 528-8686 · Fax (405) 528-8692

Phone(405) 528-8686

Fax(405) 528-8692

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateOctober 12, 2011

✔ NPI 1528198561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OK · 698

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

2701 N OKLAHOMA AVE, Oklahoma City, OK 73105

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Other Identifiers 2

Medicaid100742400FOK

Medicaid100742400BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

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

MISS KRISTA LYNN BROOKE CADC UNDER SUPERVISI

Counselor (Addiction (Substance Use Disorder))