IndividualActive
Amanda Wiens, LPC
NPI 1477872844 · Mental Health Counselor · Fairview, OK
Provider details
- NPI number
- 1477872844
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3575 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1425 N Main St
Ste 2
Fairview, OK 73737
Phone: (405) 664-7540
Fax: (580) 701-2658
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 265
Fairview, OK 73737
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.