Individual provider · Type 1 NPI

Amber Nichole Sullivan Maxwell, MA LPC

Mental Health Counselor · Oklahoma City, OK

NPI number 1013279710 Active

Practice location

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Call (405) 858-1700 Map

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978

Other practice locations

  • 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 · (405) 858-1700

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5404 (OK)
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800X5404 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1013279710

Amber Nichole Sullivan Maxwell, MA LPC's National Provider Identifier is 1013279710, issued on Jun 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 14, 2020.