Individual ProviderRosanne Nardoni IsomCounselorBehavioral Health & Social Service ProvidersPractice Address505 SW 68th St, Oklahoma City, OK 73139-4307(405) 626-2544PECOS EnrollmentBased on the most recent information from CMS, provider Rosanne Nardoni Isom does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1225355886Provider TypeIndividualFull NameNardoni Isom, RosanneCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date4/22/2010Last Updated10/16/2024Contact InformationPractice LocationPractice Address505 SW 68th St, Oklahoma City, OK 73139-4307Phone(405) 626-2544FaxUnlisted FaxMailing LocationMailing Address505 SW 68th St, Oklahoma City, OK 73139-4307Phone(405) 626-2544FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC04133OklahomaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4133OklahomaProvider IdentifiersIDDescriptionIssuerID2003647290ADescriptionMedicaidIssuerUnlistedOklahoma