Individual provider · Type 1 NPI

Destani Shyne Malicoat

Counselor · Oklahoma City, OK

NPI number 1841897485 Active

Practice location

6803 S Western Ave Ste 404
Oklahoma City, OK 73139-1814

Call (405) 208-4469 Map

Mailing address

3446 Rustic Holw
Guthrie, OK 73044-1618

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: 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.

Another provider at this address

Other counselor providers in Oklahoma City

See all in Oklahoma City →

About NPI 1841897485

Destani Shyne Malicoat's National Provider Identifier is 1841897485, issued on Oct 7, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 12, 2021.