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DESTANI SHYNE MALICOAT
NPI 1841897485
Counselor in Oklahoma City, OK

Active since October 07, 2020
6803 S WESTERN AVE STE 404, OKLAHOMA CITY, OK 73139(405) 208-4469 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2021, Oct 7, 2020 (2 updates tracked since 2020).

About Destani Shyne Malicoat NPPES

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

DESTANI SHYNE MALICOAT (NPI 1841897485) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1841897485
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDESTANI SHYNE MALICOAT
Location Address6803 S WESTERN AVE STE 404Oklahoma City, OK 73139-1814
Mailing Address3446 Rustic HolwGuthrie, OK 73044-1618 · (405) 756-6225
Phone(405) 208-4469
Sole ProprietorNo
Enumeration DateOctober 7, 2020
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1841897485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
6803 S WESTERN AVE STE 404, Oklahoma City, OK 73139
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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MR. JOSHUA LAFON WOLFE M.ED.
Counselor (Professional)
6803 S WESTERN AVE STE 404
OKLAHOMA CITY, OK 73139
Cleveland County (405) 208-4469

Frequently Asked Questions

What is Destani Malicoat's NPI number?

The NPI number assigned to this healthcare provider is 1841897485, enumerated as an "individual" on October 07, 2020.

Where is the provider located?

The provider is located at 6803 S WESTERN AVE STE 404 OKLAHOMA CITY, OK 73139 and the phone number is (405) 208-4469.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.

What insurance does Destani Malicoat accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.