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COFFMAN 405 COUNSELING LLC
NPI 1669043311
Counselor - Mental Health in Shawnee, OK

Active since July 04, 2021
624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 74804(405) 481-4120 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Jan 12, 2023, Jul 4, 2021 (3 updates tracked since 2021).

About Coffman 405 Counseling Llc NPPES

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

COFFMAN 405 COUNSELING LLC (NPI 1669043311) is a healthcare organization registered as a mental health in Shawnee, Oklahoma and active in the NPI registry since July 2021. The organization lists Shelley L Coffman-talley, Licenced Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1669043311
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOFFMAN 405 COUNSELING LLC
Location Address624 W INDEPENDENCE ST STE 105Shawnee, OK 74804-4329
Mailing Address2 Lakeview CirShawnee, OK 74804-3021 · (405) 201-1722
Phone(405) 481-4120
Organization SubpartNo
Authorized OfficialShelley L Coffman-talleyLicenced Professional Counselor · (405) 201-1722
Enumeration DateJuly 4, 2021
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1669043311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
624 W INDEPENDENCE ST STE 105, Shawnee, OK 74804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DEBORAH L SHARP
Counselor (Mental Health)
624 W INDEPENDENCE ST STE 105
SHAWNEE, OK 74804
Pottawatomie County (405) 434-2301
SARAH WOLF TEDDER
Counselor (Professional)
624 W INDEPENDENCE ST STE 105
SHAWNEE, OK 74804
Pottawatomie County (405) 279-9416

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 Coffman 405 Counseling LLC's NPI number?

The NPI number for Coffman 405 Counseling LLC is 1669043311. It was assigned to this organization in the NPPES registry on July 4, 2021.

Where is Coffman 405 Counseling LLC located?

Coffman 405 Counseling LLC is located at 624 W Independence St Ste 105, Shawnee, OK 74804. The listed phone number is (405) 481-4120.

What is Coffman 405 Counseling LLC'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 Coffman 405 Counseling LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.